MISSOURI SOUTHERN STATE UNIVERSITY HEALTH CENTER; NPI #1497908842

Contact Information

MISSOURI SOUTHERN STATE UNIVERSITY HEALTH CENTER

3950 NEWMAN RD
KUHN HALL 306 HEALTH SERVICES OFFICE
JOPLIN, MO 64801-1512

Phone: 417-625-9323
Fax: 417-659-4376
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for MISSOURI SOUTHERN STATE UNIVERSITY HEALTH CENTER

NPI # 1497908842

LBN Legal business name MISSOURI SOUTHERN STATE UNIVERSITY HEALTH CENTER

Authorized official W DIPLEY - (DIRECTOR OF HEALTH CARE SERVICES)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/29/2008

Last updated 10/29/2008 - About 18 years ago

Identifiers

License #

1072289

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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