NPIMap

Organization Active NPI

Central Methodist Univeristy

  • Rehabilitation Clinic/Center
  • Fayette, MO
National Provider Identifier
1053680272
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
2011025406 Issued in MO
Legal business name
CENTRAL METHODIST UNIVERISTY
Practice address
411 Central Methodist SQ
Fayette, MO 65248-1104
Phone
(308) 631-5364
NPI assigned
Dec 16, 2011
Last updated
Dec 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas M Buehler, ATC
Title
Athletic Trainer
Phone
(308) 631-5364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 2011025406 MO Primary

Addresses

Primary practice location

411 Central Methodist SQ
Fayette, MO 65248-1104

Mailing address

180246 Highway 71
Gering, NE 69341-7526

National Provider Directory

National Provider Directory
Tax ID family
Central Methodist University5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1053680272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180246 HIGHWAY 71",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693417526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CENTRAL METHODIST SQ",
            "city": "FAYETTE",
            "state": "MO",
            "postal_code": "652481104",
            "telephone_number": "308-631-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL METHODIST UNIVERISTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "BUEHLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ATHLETIC TRAINER",
        "authorized_official_telephone_number": "308-631-5364",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MO",
            "license": "2011025406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayette, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.