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Contact Information

NORTHWEST MISSOURI STATE UNIVERSITY
800 UNIVERSITY DRIVE
MARYVILLE, MO64468
 Phone: 660-562-1313
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for NORTHWEST MISSOURI STATE UNIVERSITY

NPI # 1225310204
LBN Legal business name NORTHWEST MISSOURI STATE UNIVERSITY
Authorized official MATTHEW CANNELLA - (HEAD ATHLETIC TRAINER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2011
Last updated 02/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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