Missouri State University Athletic Medical And Rehabilitation Services in Springfield - Clinic/center

Missouri State University Athletic Medical And Rehabilitation Services - NPI 1649341272

Missouri State University Athletic Medical And Rehabilitation Services is a Clinic/center in Springfield, Missouri. Missouri State University Athletic Medical And Rehabilitation Services practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Missouri State University Athletic Medical And Rehabilitation Services is 1649341272. The last update date is 2010-04-01.

Missouri State University Athletic Medical And Rehabilitation Services's current location address is 901 S National Ave, Springfield, Missouri. You can contact this provider via phone number 4178365461 and fax number 4178366101. The mailing address for Missouri State University Athletic Medical And Rehabilitation Services is 901 S National Ave, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Missouri State University Athletic Medical And Rehabilitation Services
Address 901 S National Ave, Springfield, Missouri
Phone Number 4178365461
Fax Number 4178366101
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Penkalski Thomas James
Credentials ATC
Telephone Number 4178365461

NPI Number Detail

NPI Number 1649341272
Provider Enumeration Date 2006-11-13
Last Updated Date 2010-04-01

Provider Mailing Address Detail

Address 901 S National Ave
City Springfield
State Missouri (MO)
Post Code 658970027
Phone Number 4178365461
Fax Number 4178366101

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
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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FAQs about Missouri State University Athletic Medical And Rehabilitation Services

What is the unique 10-digit identification code issued to Missouri State University Athletic Medical And Rehabilitation Services by the Centers for Medicare & Medicaid Services?

The Missouri State University Athletic Medical And Rehabilitation Services has been assigned the NPI (National Provider Identifier) 1649341272 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Missouri State University Athletic Medical And Rehabilitation Services's facilities are situated?

The facilities of Missouri State University Athletic Medical And Rehabilitation Services are physically located at the following address: 901 S National Ave, Springfield, MO, 658970027.

What is Missouri State University Athletic Medical And Rehabilitation Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Missouri State University Athletic Medical And Rehabilitation Services is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.

On what date did the Missouri State University Athletic Medical And Rehabilitation Services receive the assignment of its 1649341272 from the Centers for Medicare & Medicaid Services?

The Missouri State University Athletic Medical And Rehabilitation Services was issued its 1649341272 by the Centers for Medicare & Medicaid Services on 2006-11-13.

As of what date were the Missouri State University Athletic Medical And Rehabilitation Services's details last updated?

The information pertaining to the Missouri State University Athletic Medical And Rehabilitation Services, including its address, specialty, and other details, was most recently updated on 2010-04-01.

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