Organization
SGOH ACQUISITION, INC.
Active
Other names
OCH WELLPOINTE FAMILY MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL G TAYLOR (CEO)
(417) 837-4090
Entity
Organization
Contact information
Practice address
543 W HUBBLE DR, MARSHFIELD, MO 65706-1532
(417) 859-4878
Mailing address
2828 N NATIONAL AVE, SPRINGFIELD, MO 65803-4306
(417) 837-4000
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2010
Last updated
07/24/2012
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