| 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 |
Goodman Family Clinic 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 | |
Goodman Family Clinic 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 | |
Access Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 N School St, Goodman, MO 64843 Phone: 417-782-6200 Fax: 417-782-6210 |