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Organization
SGOH ACQUISITION, INC.
Active
Organization
SGOH ACQUISITION, INC.
Active
Other names
OCH SPARTA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL G TAYLOR (CEO)
(417) 837-4090
Entity
Organization
Contact information
Practice address
155 VILLAGE DRIVE, SPARTA, MO 65753-8104
(417) 634-4203
(417) 634-4505
Mailing address
155 VILLAGE DRIVE, SPARTA, MO 65753-8104
(417) 634-4203
(417) 634-4505
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/21/2014
Last updated
11/17/2017
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