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Organization

ST. JOHN'S REGIONAL MEDICAL CENTER

Active
Other names
St. John's Regional Medical Center Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEORGE CARALIS (CEO)
(417) 781-2727
Entity
Organization

Contact information

Practice address
4500 E 32ND ST, JOPLIN, MO 64804-4404
(417) 623-8164
(417) 623-1420
Mailing address
4500 E 32ND ST, JOPLIN, MO 64804-4404
(417) 623-8164
(417) 623-1420

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
049-10HO
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100000880M
KS
05
820564508
MO
Enumeration date
08/22/2006
Last updated
03/11/2009
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