ST JOHNS CLINIC INC (NPI# 1033316591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033316591 |
| Entity Type | Organization |
| Organization Name | ST JOHNS CLINIC INC |
| Other Organization Name | SJC-CUBA |
| Practice Address |
114 Downey Pl Cuba MO 65453-1640 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 5738853358 |
| Practice Fax Number | 5738853361 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | DONN E. SORENSEN (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 4178294264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MO | Suppliers |
| Other Name | Type Code |
|---|---|
| SJC-Cuba | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710187588 | St Johns Clinic Inc | Obstetrics & Gynecology | 705 Phillips, Huntsville, AR 72740 | 2007-07-20 |
| 1902003643 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 2055 S. Fremont, Suite 200, Springfield, MO 65804 | 2007-06-27 |
| 1487815304 | St Johns Clinic Inc | Obstetrics & Gynecology | 24 Norris St, Eureka Springs, AR 72632-3541 | 2008-06-23 |
| 1447439633 | St Johns Clinic Inc | Advanced Practice Midwife | 613 Orchard Dr, Berryville, AR 72616-5013 | 2007-10-24 |
| 1053518522 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 518 Pine St, Steelville, MO 65565-6041 | 2007-06-28 |
| 1649477118 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2007-06-28 |
| 1831396399 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 404 W Rolla Rd, Salem, MO 65560-1233 | 2007-06-28 |
| 1962609446 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 2711 S Meadowbrook Ave, Springfield, MO 65807-5924 | 2007-06-28 |
| 1871790352 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 2754 W Republic Rd, Springfield, MO 65807-3901 | 2007-06-28 |
| 1548467012 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 107 W Eldon St, Saint James, MO 65559-1903 | 2007-06-28 |
| Street Address |
114 DOWNEY PL |
| City | CUBA |
| State | MO |
| Zip Code | 65453-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811074461 | Thomas L. Gibbon | Family Medicine | 114 Downey Pl, Cuba, MO 65453-1640 | 2006-11-01 |
| 1538539325 | Michelle M. Englert | Nurse Practitioner | 114 Downey Pl, Cuba, MO 65453-1640 | 2015-10-06 |
| 1366885667 | Susan Marie Frago | Nurse Practitioner | 114 Downey Pl, Cuba, MO 65453-1640 | 2013-04-17 |
| 1063541704 | Mercy Clinic Springfield Communities | Family Medicine | 114 Downey Pl, Cuba, MO 65453-1640 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508365693 | Mary Frances Tatkenhorst | Counselor | 1200 Martin St Unit 2, Cuba, MO 65453 | 2018-02-05 |
| 1194112946 | Tamara Cooks | Pediatrics | 102 Ozark Dr Ste B, Cuba, MO 65453 | 2015-04-20 |
| 1033406434 | Sj Black Investments LLC | Chiropractor | 501a South Franklin Street, Cuba, MO 65453 | 2011-07-06 |
| 1427209667 | Monica Hutchison | Counselor | 1373 Windle Road, Cuba, MO 65453 | 2008-10-07 |
| 1164612818 | Healthnet Regional Center of Cuba, Inc.. | Clinic/Center | 108 Buchanan, Cuba, MO 65453 | 2007-07-30 |
| 1962523779 | Richard A Money | Social Worker | Stubblefield Care Ctr, 5349 Hwy P, Cuba, MO 65453 | 2007-04-02 |
| 1841338936 | Christopher C. Conger | Family Medicine | 105n Lawrence, Cuba, MO 65453 | 2007-02-02 |
| 1205989670 | Frank Puc | Pediatrics | 4400 W 95th Street, Suite 104, Oak Lawn, IL 65453 | 2007-01-19 |
| 1184731671 | Sandy Hagene | Nurse Practitioner | 102 Ozark Dr, Cuba, MO 65453 | 2006-08-23 |
| 1467643502 | Victorian Manor of Cuba Inc | Assisted Living Facility | 901 Hwy Dd, Cuba, MO 65453-0901 | 2007-08-05 |
| Find all providers in zip 65453 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750447637 | Medley Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 200 N Franklin St, Cuba, MO 65453-1705 | 2006-12-28 |
| 1053338301 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 100 Ozark Dr, Cuba, MO 65453-1664 | 2006-07-16 |
| 1598754327 | Fillmore Fisher Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2 Center Street, Cuba, NY 14727 | 2005-10-14 |
| 1801312996 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10 W Main St, Cuba, NY 14727-1404 | 2017-08-21 |
| 1881815983 | Towne Pharmacy | Durable Medical Equipment & Medical Supplies | 200 N Franklin St, Cuba, MO 65453-1705 | 2007-05-02 |
| 1114026390 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 10 West Main Street, Cuba, NY 14727-1404 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407646 | Troutman Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 | 2020-11-07 |
| 1033719323 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 7001 Blue Ridge Blvd Ste P, Raytown, MO 64133-5629 | 2020-10-27 |
| 1093312241 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 7483 Mexico Rd, Saint Peters, MO 63376-1304 | 2020-10-01 |
| 1083228233 | Best Care Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2200 W Port Plaza Dr Ste 220b, Saint Louis, MO 63146-3211 | 2020-09-04 |
| 1194339515 | Neighborhood Ltc Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4240 Blue Ridge Blvd Ste 100, Kansas City, MO 64133-1703 | 2020-09-02 |
| 1497368773 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1430 Olive St Ste P, Saint Louis, MO 63103-2360 | 2020-08-26 |
| 1124630546 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 1840 N Commerce Dr, Nixa, MO 65714-7603 | 2020-08-18 |
| 1497373989 | Taylor Made Walk In Tubs LLC | Durable Medical Equipment & Medical Supplies | 420 Nichols Rd, Kansas City, MO 64112-2005 | 2020-07-10 |
| 1487277687 | Medline Industries, Inc. | Durable Medical Equipment & Medical Supplies | 1401 Universal Ave, Kansas City, MO 64120-2139 | 2020-05-21 |
| 1942822549 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 213 Village Square Shop Ctr, Hazelwood, MO 63042-1838 | 2020-05-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST JOHNS CLINIC INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.