# ST JOHNS EXPRESS CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST JOHNS MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255388849
- **Legal business name:** ST JOHNS MEDICAL GROUP
- **Authorized official:** PAUL EBMEIER (CEO)
- **Authorized official phone:** (417) 625-2878

## Contact information

- **Practice address:** 1313 S RANGELINE RD, JOPLIN, MO 64801-5588
- **Practice address phone:** (417) 625-2878
- **Practice address fax:** (417) 625-2807
- **Mailing address:** PO BOX 1240, JOPLIN, MO 64802-1240
- **Mailing address phone:** (417) 625-2878
- **Mailing address fax:** (417) 625-2807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 08/25/2008