<Unavail>
LBN: St Johns Clinic Inc
<Unavail> is an health care organization with primary practice located at 331 Hospital Dr Suite E, Lebanon MO 65536-9217. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
St Johns Clinic Inc can be contacted via phone (417) 533-6540, or through Sorensen, Donn E. via phone (417) 829-4264.
Contact Information
Primary practice address
331 Hospital Dr Suite E
Lebanon MO 65536-9217
Phone: (417) 533-6540
Fax: (417) 533-6550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | Missouri | |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Missouri |
Profile Details
| NPI number | 1013130483 |
|---|---|
| LBN Legal business name | St Johns Clinic Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Sorensen, Donn E. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Sep 27th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013130483 | NPPES |
| Missouri | MEDICAID | 329095806 |
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