# SGOH ACQUISITION INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114924768
- **Authorized official:** MR. PAUL TAYLOR (CEO)
- **Authorized official phone:** (417) 837-2000

## Contact information

- **Practice address:** 1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
- **Practice address phone:** (417) 823-2900
- **Practice address fax:** (417) 886-2774
- **Mailing address:** 1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
- **Mailing address phone:** (417) 823-2900
- **Mailing address fax:** (417) 886-2774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 4546 | MO | Yes |
| 283Q00000X | Psychiatric Hospital | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 454-8 | MO | — |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 07/16/2024