Organization
ST JOHNS REGIONAL MEDICAL CENTER
Active
Parent organization
CATHOLIC HEALTH INITIATIVES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC HEALTH INITIATIVES
Authorized official
MR. GARY PULSIPHER (PRESIDENT 7 CEO)
(417) 781-2727
Entity
Organization
Contact information
Practice address
2931 MCCLELLAND BLVD, JOPLIN, MO 64804-1633
(417) 781-2727
(417) 625-2910
Mailing address
2727 MCCLELLAND BLVD, JOPLIN, MO 64804-1695
(417) 781-2727
(417) 625-2910
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11848
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010564508
—
MO
01
—
100000880A
MEDICAID
KS
01
—
100693700A
MEDICAID
OK
Enumeration date
10/05/2006
Last updated
11/25/2009
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