| Sgoh Acquisition, Inc. | |
|
2485 N Main St Jay OK 74346-2201 | |
| (918) 253-2550 | |
| (918) 253-2122 |
| Full Name | Sgoh Acquisition, Inc. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2485 N Main St, Jay, Oklahoma |
| Authorized Official Name and Position | Paul Taylor (CEO) |
| Authorized Official Contact | 4178374090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgoh Acquisition, Inc. 2485 N Main St Jay OK 74346-2201 Ph: (918) 253-2550 | Sgoh Acquisition, Inc. 2485 N Main St Jay OK 74346-2201 Ph: (918) 253-2550 |
| NPI Number | 1457808669 |
|---|---|
| Provider Enumeration Date | 09/06/2016 |
| Last Update Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457808669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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