SGOH ACQUISITION INC (NPI# 1982744983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982744983 |
| Entity Type | Organization |
| Organization Name | SGOH ACQUISITION INC |
| Other Organization Name | OZARKS COMMUNITY HOSPITAL |
| Practice Address |
2828 N National Ave Springfield MO 65803-4306 |
| Practice Telephone | 4178374000 |
| Practice Fax Number | 4178754791 |
| Mailing Telephone | 4178374000 |
| Mailing Fax Number | 4178754791 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2011-02-04 |
| Authorized Official Name | PAUL G TAYLOR (ADMINISTRATOR CEO) |
| Authorized Official Telephone | 4178374000 |
| Is Organization Subpart | Y |
| Parent Organization Name | SGOH ACQUISITION INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 4546 | MO | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 010564409 | 05 | |
| MO | 540564408 | 05 |
| Other Name | Type Code |
|---|---|
| OZARKS COMMUNITY HOSPITAL | 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 |
| 1568502631 | Sgoh Acquisition Inc | Clinic/Center | 108 S Hickory St, Mount Vernon, MO 65712-1407 | 2007-02-07 |
| 1114924768 | Sgoh Acquisition Inc | Psychiatric Hospital | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2005-06-28 |
| Street Address |
2828 N NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65803-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721100 | Brendon Delport | Ophthalmology | 2828 N National Ave, Springfield, MO 65803-4306 | 2005-06-23 |
| 1669088746 | Katherine Burley | Social Worker | 2828 N National Ave, Springfield, MO 65803-4306 | 2020-09-23 |
| 1194211037 | Springfield Behavioral Hospital, LLC | Psychiatric Hospital | 2828 N National Ave, Springfield, MO 65803-4306 | 2018-07-03 |
| 1821524034 | Ozarks Community Hospital, Inc. | Psychiatric Hospital | 2828 N National Ave, Springfield, MO 65803-4306 | 2017-05-08 |
| 1184165490 | Ozarks New Hope | Clinic/Center | 2828 N National Ave, Springfield, MO 65803-4306 | 2017-03-20 |
| 1598117210 | Blaine Alan Carter | Pharmacist | 2828 N National Ave, Suite A, Springfield, MO 65803-4306 | 2016-07-06 |
| 1326496100 | Sgoh Acquisition, Inc. | Clinic/Center | 2828 N National Ave, Springfield, MO 65803-4306 | 2016-06-02 |
| 1891160826 | Kristin Wargo Roeder | Dietitian, Registered | 2828 N National Ave, Springfield, MO 65803-4306 | 2015-12-02 |
| 1043683659 | Arthur Karl Mcfarland IIi | Pharmacist | 2828 N National Ave, Springfield, MO 65803-4306 | 2015-11-04 |
| 1003282864 | Michelle Spencer | Nurse Practitioner | 2828 N National Ave, Springfield, MO 65803-4306 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
| 1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
| 1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
| 1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
| 1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
| Find all providers in zip 65803 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083110407 | A Mcfarland Mental Health Center - Lincoln North | Psychiatric Unit | 901 E Southwind Rd, Springfield, IL 62703-5125 | 2018-04-04 |
| 1548540982 | Memorial Medical Center (siu) | Psychiatric Unit | 701 N 1st St, Springfield, IL 62702-3757 | 2011-08-17 |
| 1861613630 | Dhs-mcfarland Mhc-kennedy Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-05-01 |
| 1841417318 | Dhs-a. Mcfarland Mhc-stevenson Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-04-19 |
| 1033249982 | Idhs-mcfarland Mhc-douglas Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-03-07 |
| 1508996257 | Idhs-mcfarland Mhc-monroe Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-03-06 |
| 1144350802 | Idhs-mcfarland Mhc-jefferson Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-03-06 |
| 1528198280 | Idhs-mcfarland Mhc-lincoln Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-03-06 |
| 1982730255 | Idhs-mcfarland Mhc- Stevenson Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-02-23 |
| 1962537308 | Idhs-mcfarland-kennedy Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-02-23 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65803 |
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| 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.