| St. John's Physicians & Clinics, Inc. | |
| 620 S Glenstone Ave St. John's Physicians & Clinics, Inc. Springfield MO 65802-3206 | |
| (417) 829-4620 | |
| (417) 829-4316 | 
| Full Name | St. John's Physicians & Clinics, Inc. | 
|---|---|
| Speciality | Family Medicine | 
| Location | 620 S Glenstone Ave, Springfield, Missouri | 
| Authorized Official Name and Position | Donn E. Sorensen (SENIOR VICE PRESIDENT/COO) | 
| Authorized Official Contact | 4178206556 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| St. John's Physicians & Clinics, Inc. 1965 S Fremont Ave St. John's Physicians & Clinics, Inc. Springfield MO 65804-2201 Ph: (417) 829-4264 | St. John's Physicians & Clinics, Inc. 620 S Glenstone Ave St. John's Physicians & Clinics, Inc. Springfield MO 65802-3206 Ph: (417) 829-4620 | 
| NPI Number | 1366486052 | 
|---|---|
| Provider Enumeration Date | 06/15/2006 | 
| Last Update Date | 09/22/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366486052 | NPI | - | NPPES | 
| 502606502 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
| Regional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3525 S National Ave, #307, Springfield, MO 65807 Phone: 417-269-9220 Fax: 417-269-9229 | |
| Lester E. Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3800 S National Ave, #600, Springfield, MO 65807 Phone: 417-269-1499 Fax: 417-269-1459 | |
| Regional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave, #k-100, Springfield, MO 65802 Phone: 417-269-3915 Fax: 417-269-3913 | |
| Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |
| Lester E Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1429 W Sunshine St, Springfield, MO 65807 Phone: 417-269-2240 Fax: 417-269-2245 | |
| Advocates For A Healthy Community, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 W Grand St Ste B, Springfield, MO 65802 Phone: 417-831-0150 Fax: 417-831-0155 |