SJC-MOUNTAIN GROVE
NPI 1780707406
Durable Medical Equipment & Medical Supplies in Mountain Grove, MO

Q: What is St Johns Clinic Inc's NPI number?

The NPI number for St Johns Clinic Inc is 1780707406. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Sjc-Mountain Grove.

Q: What is St Johns Clinic Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since April 09, 2007

120 W 16TH ST, MOUNTAIN GROVE, MO 65711(417) 926-6111(417) 926-6115 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sjc-mountain Grove NPPES

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

SJC-MOUNTAIN GROVE (NPI 1780707406) is a healthcare organization registered as a durable medical equipment & medical supplies in Mountain Grove, Missouri and active in the NPI registry since April 2007. The organization lists Donn E. Sorensen, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1780707406

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameST JOHNS CLINIC INC

Location Address120 W 16TH STMountain Grove, MO 65711-1039

Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316

Phone(417) 926-6111

Fax(417) 926-6115

Organization SubpartNo

Authorized OfficialDonn E. SorensenSenior Vice President · (417) 829-4264

Enumeration DateApril 9, 2007

Last NPPES UpdateJune 30, 2008

✔ NPI 1780707406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

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.

120 W 16TH ST, Mountain Grove, MO 65711

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Other Names 1

Doing Business AsSjc-mountain Grove

Other Identifiers 1

Medicare NSC0472580054MO

Other Providers at the Same Location NPPES 14

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

ASHLYNN VONDERHEIDE FNP-C

Nurse Practitioner (Family)