# ST JOHNS CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SJC-EUREKA SPRINGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487815304
- **Authorized official:** DONN E. SORENSEN (SENIOR VICE PRESIDENT/COO)
- **Authorized official phone:** (417) 829-4264

## Contact information

- **Practice address:** 24 NORRIS ST, EUREKA SPRINGS, AR 72632-3541
- **Practice address phone:** (479) 253-7400
- **Mailing address:** PO BOX 2580, SPRINGFIELD, MO 65801-2580
- **Mailing address phone:** (417) 829-4620
- **Mailing address fax:** (417) 829-4316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | R3882 | AR | Yes |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 06/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING | — | AR |