SGOH ACQUISITION INC (NPI# 1568502631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568502631 |
| Entity Type | Organization |
| Organization Name | SGOH ACQUISITION INC |
| Other Organization Name | OCH LAWRENCE COUNTY CLINIC |
| Practice Address |
108 S Hickory St Mount Vernon MO 65712-1407 |
| Practice Telephone | 4174664110 |
| Practice Fax Number | 4174664255 |
| Mailing Telephone | 4174664110 |
| Mailing Fax Number | 4174664255 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-10-27 |
| Authorized Official Name | PAUL G TAYLOR (ADMINISTRATOR CEO) |
| Authorized Official Telephone | 4178374000 |
| Is Organization Subpart | Y |
| Parent Organization Name | SGOH ACQUISITION INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 591234208 | 05 |
| Other Name | Type Code |
|---|---|
| OCH LAWRENCE COUNTY CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1942335203 | Sgoh Acquisition Inc | Clinic/Center | 101 South Main, Rogersville, MO 65742 | 2007-02-23 |
| 1780943357 | Sgoh Acquisition Inc | Medicare Defined Swing Bed Unit | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2012-05-16 |
| 1356588255 | Sgoh Acquisition Inc | Psychiatric Unit | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2009-01-14 |
| 1568643005 | Sgoh Acquisition Inc | Clinic/Center | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2007-11-26 |
| 1982744983 | Sgoh Acquisition Inc | Psychiatric Unit | 2828 N National Ave, Springfield, MO 65803-4306 | 2007-02-07 |
| 1114924768 | Sgoh Acquisition Inc | Psychiatric Hospital | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2005-06-28 |
| Street Address |
108 S HICKORY ST |
| City | MOUNT VERNON |
| State | MO |
| Zip Code | 65712-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578550158 | Malinda K Kendrick | Nurse Practitioner | 108 S Hickory St, Mount Vernon, MO 65712-1407 | 2005-09-29 |
| 1285183822 | Lisa Mccoy | Nurse Practitioner | 108 S Hickory St, Mount Vernon, MO 65712-1407 | 2016-09-23 |
| 1851686182 | Thomas G Douglas | Nurse Practitioner | 108 S Hickory St, Mount Vernon, MO 65712-1407 | 2011-06-15 |
| 1265417331 | William Lewis Mckay | Family Medicine | 108 S Hickory St, Mount Vernon, MO 65712-1407 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063992527 | Regional Services | Nurse Practitioner | 400 Mo-174, Mt Vernon, MO 65712 | 2018-08-15 |
| 1295044303 | Jeffrey Paul Leclair | Physician Assistant | 1011 South East Street, Mt. Vernon, MO 65712 | 2010-10-07 |
| 1912174327 | Three Rivers Hospice Inc | Hospice Care, Community Based | 631 N Spring Park Blvd, Mt Vernon, MO 65712 | 2008-05-14 |
| 1821274929 | Hearing Crafters of America Inc | Hearing Instrument Specialist | 708 E Mt Vernon Blvd, Mt Vernon, MO 65712 | 2008-01-18 |
| 1609957885 | Mount Vernon Eyecare Associates, LLC | Optometrist | 104 S Hickory, Mount Vernon, MO 65712 | 2006-10-17 |
| 1982700423 | Ronald E. Price | Dentist | 1050 Hayward Dr., Mt Vernon, MO 65712 | 2006-09-15 |
| 1144279829 | Mary Elisabeth Aslin | Speech-Language Pathologist | 600 N. Main, Missouri Rehabilitation Center, Mount Vernon, MO 65712 | 2006-05-09 |
| 1912986332 | Robert Gordon Mcafee | Psychiatry & Neurology | 600 N Main, Mount Vernon, MO 65712 | 2006-01-13 |
| 1477856805 | Eric Snow | Physical Therapist | 1600 S Hickory St, Mount Vernon, MO 65712 | 2010-12-07 |
| 1477567030 | Ricky Lavaughn Kime | Internal Medicine | 600 N Main St, Va Outpatient Clinic, Mount Venon, MO 65712 | 2006-07-28 |
| Find all providers in zip 65712 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396263000 | Rockcastle County Hospital, Inc. | Clinic/Center | 1770 Lake Cumberland Rd, Mount Vernon, KY 40456-8431 | 2017-09-01 |
| 1578090403 | Advanced Family Medical Clinic Mount Vernon | Clinic/Center | 50 Lovell Court, Mount Vernon, KY 40456-2964 | 2017-05-23 |
| 1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
| 1871706374 | John Hall Md Rural Health Services | Clinic/Center | 3505 Broadway St Ste A, Mount Vernon, IL 62864-2202 | 2007-05-08 |
| 1164547287 | Lower Oconee Community Hospital, Inc | Clinic/Center | 441 W Broad Street, Mount Vernon, GA 30445-2629 | 2007-03-20 |
| 1497823314 | Southside Medical Clinic Inc | Clinic/Center | 913 South 10th Street, Mount Vernon, IL 62864-5313 | 2006-11-30 |
| 1669466686 | Crossroads Physician Corp | Clinic/Center | 3505 Broadway St, Mount Vernon, IL 62864-2202 | 2005-09-06 |
| 1548264237 | Physician Services Corp of Southern Illinois | Clinic/Center | 8 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864-6736 | 2005-06-09 |
| 1912900234 | Family Care Network, Pllc | Clinic/Center | 2116 E. Section St., Mount Vernon, WA 98274 | 2005-05-31 |
| 1447814405 | National Healthcare of Mt Vernon Inc | Clinic/Center | 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2019-04-25 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 65712 |
Please comment or provide details below to improve the information on SGOH ACQUISITION 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.