ST JOHNS REGIONAL MEDICAL CENTER DEPT OF RADIOLOGY – NPI #1770503187
Clinic/Center

ST JOHNS REGIONAL MEDICAL CENTER DEPT OF RADIOLOGY is an AHC clinic located in JOPLIN, MO. NPPES has assigned the NPI number 1770503187 to ST JOHNS REGIONAL MEDICAL CENTER DEPT OF RADIOLOGY on July 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST JOHNS REGIONAL MEDICAL CENTER DEPT OF RADIOLOGY” is a dba name, the actual legal business name for this organization is ST JOHNS REGIONAL MEDICAL CENTER. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 18 years ago on Jun 03, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST JOHNS REGIONAL MEDICAL CENTER DEPT OF RADIOLOGY below.

NPI Profile for
ST JOHNS REGIONAL MEDICAL CENTER

NPI Number
1770503187
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST JOHNS REGIONAL MEDICAL CENTER
Doing Business As (dba): ST JOHNS REGIONAL MEDICAL CENTER DEPT OF RADIOLOGY
Primary location
2727 MCCLELLAND BLVD
DEPARTMENT OF RADIOLOGY
JOPLIN, MO 64804
Phone: (417) 781-2727 Fax:
Mailing address
3436 SOLUTIONS CTR
CHICAGO, IL 60677-0001
Phone: (800) 525-7212 Fax:
Organization Subpart
Yes - ST JOHNS REGIONAL MEDICAL CENTER DEPT OF RADIOLOGY is subpart of another organization.
Authorized Official
CHRISTOPHER MEOLI
PHYSICIAN EXECUTIVE
Phone: (417) 659-6626
Updated
Identifiers

Identifiers for ST JOHNS REGIONAL MEDICAL CENTER DEPT OF RADIOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERGHP137137
OTHERMO BLUE174847
MEDICAIDKS100000880N
MEDICAIDKS469128
MEDICAIDMO540564507
MEDICAIDOK100693700E
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.