College Skyline Center Llc in Joplin - Clinic/center
College Skyline Center Llc - NPI 1598764110
College Skyline Center Llc is a Clinic/center in Joplin, Missouri. College Skyline Center Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for College Skyline Center Llc is 1598764110. The last update date is 2017-05-04.
College Skyline Center Llc's current location address is 1230 N Duquesne Rd, Joplin, Missouri. You can contact this provider via phone number 4177821443 and fax number 4177823240. The mailing address for College Skyline Center Llc is 1230 N Duquesne Rd, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | College Skyline Center Llc |
|---|---|
| Address | 1230 N Duquesne Rd, Joplin, Missouri |
| Phone Number | 4177821443 |
| Fax Number | 4177823240 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Eddington Tracy |
| Telephone Number | 4177821443 |
NPI Number Detail
| NPI Number | 1598764110 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2017-05-04 |
Provider Mailing Address Detail
| Address | 1230 N Duquesne Rd |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648011509 |
| Phone Number | 4177821443 |
| Fax Number | 4177823240 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 507593408 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to College Skyline Center Llc by the Centers for Medicare & Medicaid Services?
The College Skyline Center Llc has been assigned the NPI (National Provider Identifier) 1598764110 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where College Skyline Center Llc is located?
The College Skyline Center Llc is situated at the following address: 1230 N Duquesne Rd, Joplin, MO, 648011509.
What is the College Skyline Center Llc's specialty and taxonomy code?
The College Skyline Center Llc's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1598764110 to College Skyline Center Llc?
The Centers for Medicare & Medicaid Services assigned the 1598764110 to College Skyline Center Llc on 2005-07-15.
When was the information related to College Skyline Center Llc most recently updated or refreshed?
The details pertaining to the College Skyline Center Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-05-04.