SJC-OB/GYN-HOSPITALISTS – NPI #1093911240
Durable Medical Equipment & Medical Supplies

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

SJC-OB/GYN-HOSPITALISTS is a DME supplier located in SPRINGFIELD, MO. NPPES has assigned the NPI number 1093911240 to SJC-OB/GYN-HOSPITALISTS on June 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SJC-OB/GYN-HOSPITALISTS” 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 332B00000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies.

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-OB/GYN-HOSPITALISTS below.

NPI Profile for
ST JOHNS CLINIC INC

NPI Number
1093911240
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-OB/GYN-HOSPITALISTS
Primary location
1900 S NATIONAL AVE
SUITE 2900
SPRINGFIELD, MO 65804-2265
Phone: (417) 820-3715 Fax: (417) 829-3720
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
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
332B00000X
- Durable Medical Equipment & Medical Supplies (Primary)
MO

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.