Organization
ST JOHNS REGIONAL MEDICAL CENTER
Active
Parent organization
CATHOLIC HEALTH INITIATIVES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC HEALTH INITIATIVES
Authorized official
MR. GARY PULSIPHER (PRESIDENT & CEO)
(417) 781-2727
Entity
Organization
Contact information
Practice address
2727 MCCLELLAND BLVD, JOPLIN, MO 64804-1695
(417) 781-2727
(417) 625-2910
Mailing address
2727 MCCLELLAND BLVD, JOPLIN, MO 64804-1695
(417) 781-2727
(417) 625-2910
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11848
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026001001
BLUE CROSS
OK
01
—
0004877
BLUE CROSS
TN
01
—
000959274X
MEDICAID
GA
01
—
007311
MEDICAID
AZ
05
—
010564508
—
MO
01
—
0935510
MEDICAID
IA
01
—
100000880A
MEDICAID
KS
01
—
100693700A
MEDICAID
OK
01
—
107954105
MEDICAID
AR
01
—
159
BLUE CROSS
MO
01
—
80053
BLUE CROSS
KS
01
—
909599300
MEDICAID
FL
01
—
95017745
MEDICAID
CO
01
—
95885019
BLUE CROSS
MO
01
—
HS90PMO
MEDICAID
AK
01
—
HS91PMO
MEDCAID
AK
01
—
STJ0001N
MEDICAID
AL
01
—
XHSP31171
MEDICAID
CA
01
—
XHSP41171
MEDICAID
CA
Enumeration date
09/26/2006
Last updated
11/25/2009
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