Organization
ST. JOHN'S REGIONAL HEALTH CENTER
Active
Other names
St. John's Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MERRIGAN (GENERAL COUNSEL)
(417) 820-2258
Entity
Organization
Contact information
Practice address
1602 ELLIOTT STREET, SUITE E, AURORA, MO 65605-2133
(417) 678-2158
(417) 678-0414
Mailing address
1570 W BATTLEFIELD ST, SUITE 110, SPRINGFIELD, MO 65807-4106
(417) 820-7492
(417) 820-5551
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
159-22
MO
251E00000X
Home Health Agency
Primary
15925HH
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580701001
—
MO
Enumeration date
11/06/2006
Last updated
11/02/2009
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