Organization
ST. JOHN'S MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL EBMEIER (COO)
(417) 627-8969
Entity
Organization
Contact information
Practice address
307 N HOSPITAL DR, SUITE 5, GIRARD, KS 66743-2014
(620) 724-4659
(620) 724-6955
Mailing address
2631 CUNNINGHAM AVE, SUITE A, JOPLIN, MO 64804-1543
(417) 627-8967
(417) 627-8951
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2006
Last updated
08/22/2020
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