Organization
ST. JOHN'S REGIONAL MEDICAL CENTER
Active
Other names
St. John's Regional Medical Center Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE CARALIS (CEO)
(417) 781-2727
Entity
Organization
Contact information
Practice address
4500 E 32ND ST, JOPLIN, MO 64804-4404
(417) 781-2204
(417) 781-2517
Mailing address
4500 E 32ND ST, JOPLIN, MO 64804-4404
(417) 781-2204
(417) 781-2517
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
127-21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000880F
—
KS
05
—
580564508
—
MO
Enumeration date
08/18/2006
Last updated
03/11/2009
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