Organization
ST. JOHN'S MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL EBMEIER (COO)
(417) 627-8967
Entity
Organization
Contact information
Practice address
445 E 10TH ST, BAXTER SPRINGS, KS 66713-1614
(620) 856-3469
(620) 856-5330
Mailing address
2631 CUNNINGHAM AVE, SUITE A, JOPLIN, MO 64804-1543
(417) 627-8967
(417) 627-8951
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
08/22/2020
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