SJC WOMEN'S HEALTH HUNTSVILLE – NPI #1710187588
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

SJC WOMEN'S HEALTH HUNTSVILLE is a provider located in HUNTSVILLE, AR. NPPES has assigned the NPI number 1710187588 to SJC WOMEN'S HEALTH HUNTSVILLE on July 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SJC WOMEN'S HEALTH HUNTSVILLE” is a dba name, the actual legal business name for this organization is ST JOHNS CLINIC INC. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 18 years ago on Jun 30, 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 SJC WOMEN'S HEALTH HUNTSVILLE below.

NPI Profile for
ST JOHNS CLINIC INC

NPI Number
1710187588
Enumeration Date

(about 19 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 CLINIC INC
Doing Business As (dba): SJC WOMEN'S HEALTH HUNTSVILLE
Primary location
705 PHILLIPS
HUNTSVILLE, AR 72740
Phone: (479) 738-1700 Fax:
Mailing address
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone: (417) 829-4620 Fax: (417) 829-4316
Organization Subpart
No
Authorized Official
DONN SORENSEN
SENIOR VICE PRESIDENT
Phone: (417) 829-4264
Updated
Identifiers

Identifiers for SJC WOMEN'S HEALTH HUNTSVILLE

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.

DescriptionIssuerStateIdentifier
OTHERAR BLUE SHIELDAR5F873
MEDICAIDAR166387002
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
207V00000X
- Obstetrics & Gynecology (Primary)
AR E4990

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.