# ST. JOHN'S MEDICAL GROUP

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

## Provider details

- **NPI number:** 1710923636
- **Authorized official:** ROBIN SUMNER (REVENUE CYCLE DIRECTOR)
- **Authorized official phone:** (417) 627-8930

## Contact information

- **Practice address:** 805 BARKER DR, OSWEGO, KS 67356-9034
- **Practice address phone:** (620) 795-2525
- **Practice address fax:** (620) 795-4666
- **Mailing address:** 1701 W 26TH ST, SUITE B, JOPLIN, MO 64804-1513
- **Mailing address phone:** (417) 267-8967
- **Mailing address fax:** (417) 627-8920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 09/02/2009