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Organization

ST JOHNS REGIONAL MEDICAL CENTER

Active
Parent organization
CATHOLIC HEALTH INITIATIVES
Other names
St Johns Regional Medical Center Dept of Radiology
Organization subpart
Yes

Provider details

NPI number
Legal business name
CATHOLIC HEALTH INITIATIVES
Authorized official
CHRISTOPHER S MEOLI DO (PHYSICIAN EXECUTIVE)
(417) 659-6626
Entity
Organization

Contact information

Practice address
2727 MCCLELLAND BLVD, DEPARTMENT OF RADIOLOGY, JOPLIN, MO 64804
(417) 781-2727
Mailing address
3436 SOLUTIONS CTR, CHICAGO, IL 60677-0001
(800) 525-7212

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100000880N
KS
05
100693700E
OK
01
137137
GHP
01
174847
MO BLUE
05
469128
KS
05
540564507
MO
Enumeration date
07/20/2006
Last updated
06/03/2008
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