St Johns Regional Medical Center
LBN: St Johns Regional Medical Center
St Johns Regional Medical Center is an health care organization with primary practice located at 2727 Mcclelland Blvd , Joplin MO 64804-1695. The organization recently has 9 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Speech, Language and Hearing Service Providers / Audiologist. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
St Johns Regional Medical Center can be contacted via phone (417) 781-2727, or through Dandridge, Walter C via phone (417) 625-2232.
Contact Information
Primary practice address
2727 Mcclelland Blvd
Joplin MO 64804-1695
Phone: (417) 781-2727
Fax: (417) 625-2910
Website:
Authorized official contact:
Name: Dandridge, Walter C Doctor of Medicine (MD)
Phone: (417) 625-2232
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X |
Profile Details
| NPI number | 1093802811 |
|---|---|
| LBN Legal business name | St Johns Regional Medical Center |
| DBA Doing business as | |
| Authorized official | Dandridge, Walter C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jun 16th, 2009 - about 17 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 | 1093802811 | NPPES |
| Oklahoma | Other | 000260001001 | BLUE CROSS OF OKLAHOMA |
| Oklahoma | Other | 100000880C | BLUE CROSS OF OKLAHOMA |
| Oklahoma | Other | 200900 | BLUE CROSS OF OKLAHOMA |
| Oklahoma | MEDICAID | 540564507 | BLUE CROSS OF OKLAHOMA |
| Oklahoma | Other | 100693700B | BLUE CROSS OF OKLAHOMA |
| Oklahoma | Other | 101PD001 | BLUE CROSS OF OKLAHOMA |
| Oklahoma | Other | 007750 | BLUE CROSS OF OKLAHOMA |
| Oklahoma | Other | 440548809 | BLUE CROSS OF OKLAHOMA |
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