Sgoh Acquisition Inc
Clinic/center
1540 E Evergreen St, Springfield
Missouri, 65803-4300
417-823-2900 417-886-2774
Sgoh Acquisition Inc is a Clinic/center in Springfield, Missouri. It is located at 1540 E Evergreen St, Springfield and it's customer support contact number is 417-823-2900. The authorized person of Sgoh Acquisition Inc is Mr. Paul Taylor who is Ceo of this DME and his contact number is 417-837-2000. Active license number of Sgoh Acquisition Inc is 4546 for Clinic/center in Missouri. Sgoh Acquisition Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sgoh Acquisition Inc is 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).
DME Supplier Details:
Sgoh Acquisition Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Sgoh Acquisition Inc |
| Type: | Clinic/center |
| Location: | 1540 E Evergreen St, Springfield,
Missouri, 65803-4300 |
| Phone: | 417-823-2900 |
| Fax: | 417-886-2774 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Paul Taylor |
| Position: | Ceo |
| Contact Number: | 417-837-2000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1114924768 |
| NPI Enumeration Date: | 28 Jun, 2005 |
| NPI Last Update On: | 16 Jul, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sgoh Acquisition Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic/center | 4546 | Missouri | Primary | |
| Psychiatric Hospital | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | 454-8 | Missouri | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 540564408 | Medicaid | Missouri | |
| CR0762 | Other | Missouri | Rr Medicare |
| 121295105 | Medicaid | Arkansas | |
| 010564409 | Medicaid | Missouri | |
Medicare Enrollment:
Sgoh Acquisition Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5092616276 | O20040205000647 | Sgoh Acquisition Inc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1540 E Evergreen St,
Springfield, Missouri |
| Zip: | 65803-4300 |
| Phone Number: | 417-823-2900 |
| Fax Number: | 417-886-2774 |
Patients can reach Sgoh Acquisition Inc at
1540 E Evergreen St, Springfield, Missouri or can
call on customer care at 417-823-2900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.