| Sgoh Acquisition, Inc. | |
|
412 Us Highway 71 Suite J & I Pineville MO 64856-9310 | |
| (417) 223-4290 | |
| Not Available |
| Full Name | Sgoh Acquisition, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 412 Us Highway 71, Pineville, Missouri |
| Authorized Official Name and Position | Paul Taylor (CEO) |
| Authorized Official Contact | 4178374090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgoh Acquisition, Inc. 412 Us Highway 71 Suite J & I Pineville MO 64856-9310 Ph: (417) 223-4290 | Sgoh Acquisition, Inc. 412 Us Highway 71 Suite J & I Pineville MO 64856-9310 Ph: (417) 223-4290 |
| NPI Number | 1386191989 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Medicare PECOS PAC ID | 5092616276 |
|---|---|
| Medicare Enrollment ID | O20170201001862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386191989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ozark Tri-county Health Care Consortium Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 E 8th St, Pineville, MO 64856 Phone: 417-451-9450 Fax: 417-451-8903 | |
Ozark Tri-county Health Care Consortium Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 White Rock Rd, Pineville, MO 64856 Phone: 417-451-9450 Fax: 417-451-8903 | |
Elk River Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856 Phone: 417-223-4290 Fax: 417-223-4299 | |
Elk River Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856 Phone: 417-223-4290 Fax: 417-223-4299 |