Organization
SGOH ACQUISITION INC
Active
Parent organization
SGOH ACQUISITION INC
Other names
OCH WEBSTER COUNTY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SGOH ACQUISITION INC
Authorized official
PAUL G TAYLOR (CEO ADMINISTRATOR)
(417) 837-4000
Entity
Organization
Contact information
Practice address
101 SOUTH MAIN, ROGERSVILLE, MO 65742
(417) 753-9404
(417) 753-9137
Mailing address
101 SOUTH MAIN, ROGERSVILLE, MO 65742
(417) 753-9404
(417) 753-9137
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598387306
—
MO
Enumeration date
02/23/2007
Last updated
08/03/2012
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