# ST. JOHN'S HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. John's - Integrative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144474396
- **Authorized official:** MR. BRADLEY KIM DAY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (417) 820-2845

## Contact information

- **Practice address:** 1630 E BRADFORD PKWY, SUITE B, SPRINGFIELD, MO 65804-6513
- **Practice address phone:** (417) 820-3400
- **Mailing address:** 1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
- **Mailing address phone:** (417) 820-8620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2008
- **Last updated:** 11/13/2008