NPI 1003187402

St. John's Clinic, INC.

Organisation Rural Health Clinic/Center Nixa, MO

Practice location

Address: 940 W Mount Vernon St, Nixa, MO 65714-9609
Phone: (417) 724-5437
Fax: (417) 724-5433
Mailing address: PO Box 2580, Springfield, MO 65801-2580

Authorised official

Name: Donn E. Sorensen
Title: Vice President Ambulatory Care
Phone: (417) 820-6556

Registered specialties

Rural Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR1300X

Other Clinic/Center providers in Missouri →

Registry record

NPI: 1003187402
Entity type: Organization
NPI issued: 18 Jan 2012
Record last updated: 18 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.