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SJC-CASSVILLE
NPI 1740316728
Clinic/Center - Rural Health in Cassville, MO

Active since February 26, 2007
90 GRAVEL ST, CASSVILLE, MO 65625(417) 847-6045(417) 847-6049 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sjc-cassville NPPES

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

SJC-CASSVILLE (NPI 1740316728) is a healthcare organization registered as a rural health in Cassville, Missouri and active in the NPI registry since February 2007. The organization lists Donn E. Sorensen, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1740316728
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST JOHNS CLINIC INC
Location Address90 GRAVEL STCassville, MO 65625-1601
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316
Phone(417) 847-6045
Fax(417) 847-6049
Organization SubpartNo
Authorized OfficialDonn E. SorensenChief Operating Officer · (417) 829-4264
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJune 30, 2008
✔ NPI 1740316728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License R4E21 (MO)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 104182 (MO)
90 GRAVEL ST, Cassville, MO 65625
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Other Names 1

Doing Business AsSjc-cassville

Other Identifiers 2

Medicaid598833101MO
Medicare OSCAR/certification268923MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRY L. HUBER PA-C
Physician Assistant
90 GRAVEL ST
CASSVILLE, MO 65625
Barry County (417) 847-6045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Johns Clinic Inc's NPI number?

The NPI number for St Johns Clinic Inc is 1740316728. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Sjc-Cassville.

Where is St Johns Clinic Inc located?

St Johns Clinic Inc is located at 90 Gravel St, Cassville, MO 65625. The listed phone number is (417) 847-6045.

What is St Johns Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for St Johns Clinic Inc was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.