Organization
SGOH ACQUISITION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL TAYLOR JD (CEO)
(417) 837-4090
Entity
Organization
Contact information
Practice address
109 N BROADWAY ST, SOUTH WEST CITY, MO 64863-9417
(417) 762-3287
Mailing address
109 N BROADWAY ST, SOUTH WEST CITY, MO 64863-9417
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/15/2016
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