SGOH ACQUISITION INC
NPI 1114924768
Clinic/Center in Springfield, MO

Q: What is Sgoh Acquisition Inc's NPI number?

The NPI number for Sgoh Acquisition Inc is 1114924768. It was assigned to this organization in the NPPES registry on June 28, 2005.

Q: What is Sgoh Acquisition Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 28, 2005

1540 E EVERGREEN ST, SPRINGFIELD, MO 65803(417) 823-2900(417) 886-2774 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2024, Dec 9, 2020, Jan 3, 2019 and 2 more (5 updates tracked since 2017).

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About Sgoh Acquisition Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SGOH ACQUISITION INC (NPI 1114924768) is a healthcare organization registered as a clinic/center in Springfield, Missouri and active in the NPI registry since June 2005. The organization maintains a secondary practice location in Webb City and lists Paul Taylor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114924768

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSGOH ACQUISITION INC

Location Address1540 E EVERGREEN STSpringfield, MO 65803-4300

Mailing Address1540 E Evergreen StSpringfield, MO 65803-4300 · (417) 823-2900 · Fax (417) 886-2774

Phone(417) 823-2900

Fax(417) 886-2774

Organization SubpartNo

Authorized OfficialPaul TaylorCeo · (417) 837-2000

Enumeration DateJune 28, 2005

Last NPPES UpdateJuly 16, 20245 updates tracked since enumeration

NPPES CertifiedJuly 16, 2024

✔ NPI 1114924768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MO · 4546

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedPsychiatric HospitalTaxonomy 283Q00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 454-8 (MO)

1540 E EVERGREEN ST, Springfield, MO 65803

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Secondary Practice Location 1

Location 1112 N Webb StWebb City, MO 64870-1916 · Phone (417) 673-0366 · Fax (417) 673-0093

Other Identifiers 4

Medicaid540564408MO

OtherCR0762MO · Rr Medicare

Medicaid121295105AR

Medicaid010564409MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sgoh Acquisition Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

118

Medicare enrollment records show 118 clinicians reassign Medicare billing to Sgoh Acquisition Inc, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 35 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Nurse Practitioner52

Diagnostic Radiology19

Family Practice15

Clinical Social Worker9

Internal Medicine5

Clinical Psychologist4

Mental Health Counselor4

Pediatric Medicine2

7 other specialties8

Nearest to this location (20)

See all 118

Madeline Allison, PMHNP-BC

Nurse Practitioner

NPI 1073431060