| Sgoh Acquisition, Inc. | |
| 
					912b State Highway 59 Goodman MO 64843-8252  | |
| (417) 364-7290 | |
| Not Available | 
| Full Name | Sgoh Acquisition, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 912b State Highway 59, Goodman, Missouri | 
| Authorized Official Name and Position | Paul Taylor (CEO) | 
| Authorized Official Contact | 4178374004 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sgoh Acquisition, Inc. 912b State Highway 59 Goodman MO 64843-8252 Ph: (417) 364-7290  | Sgoh Acquisition, Inc. 912b State Highway 59 Goodman MO 64843-8252 Ph: (417) 364-7290  | 
| NPI Number | 1972050581 | 
|---|---|
| Provider Enumeration Date | 09/01/2016 | 
| Last Update Date | 10/07/2020 | 
| Medicare PECOS PAC ID | 5092616276 | 
|---|---|
| Medicare Enrollment ID | O20170206002308 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1972050581 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Elk River Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 East Main Street, Goodman, MO 64843 Phone: 417-364-8300 Fax: 417-364-7290  | |
Elk River Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 E Main Street, Goodman, MO 64843 Phone: 417-364-8300 Fax: 417-364-7290  | |
Ozark Tri County Healthcare Consortium Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 N School St, Goodman, MO 64843 Phone: 417-782-6200 Fax: 417-782-6210  |