Missouri State University Athletic Training Servicesis in Springfield - Clinic/center
Missouri State University Athletic Training Servicesis - NPI 1427021765
Missouri State University Athletic Training Servicesis is a Clinic/center in Springfield, Missouri. Missouri State University Athletic Training Servicesis practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Missouri State University Athletic Training Servicesis is 1427021765. The last update date is 2020-08-22.
Missouri State University Athletic Training Servicesis'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 Training Servicesis is 901 S National Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Missouri State University Athletic Training Servicesis |
|---|---|
| Address | 901 S National Ave, Springfield, Missouri |
| Phone Number | 4178365461 |
| Fax Number | 4178366101 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR A |
|---|---|
| Authorized Official Name | Milton Eugene Ivan |
| Credentials | A.T. |
| Telephone Number | 4178365461 |
NPI Number Detail
| NPI Number | 1427021765 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 901 S National Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658040027 |
| Phone Number | 4178365461 |
| Fax Number | 4178366101 |
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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What is the unique 10-digit identifier code issued to Missouri State University Athletic Training Servicesis by the Centers for Medicare & Medicaid Services?
The Missouri State University Athletic Training Servicesis has been assigned the NPI (National Provider Identifier) 1427021765 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Missouri State University Athletic Training Servicesis?
The Missouri State University Athletic Training Servicesis is situated at 901 S National Ave, in the city of Springfield, state of MO, with the zip code 658040027.
What is Missouri State University Athletic Training Servicesis's area of expertise and its corresponding taxonomy classification?
The Missouri State University Athletic Training Servicesis's field of specialization is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Missouri State University Athletic Training Servicesis receive the assignment of its 1427021765 from the Centers for Medicare & Medicaid Services?
The Missouri State University Athletic Training Servicesis was issued its 1427021765 by the Centers for Medicare & Medicaid Services on 2006-02-08.
As of what date was the information regarding Missouri State University Athletic Training Servicesis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Missouri State University Athletic Training Servicesis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1730182858
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