NPIMap

Organization Active NPI

Wichita State University Student Health Services

  • Student Health Clinic/Center
  • Wichita, KS
National Provider Identifier
1174019293
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
WICHITA STATE UNIVERSITY STUDENT HEALTH SERVICES
Practice address
1845 Fairmount
Wichita, KS 67260-0092
Phone
(316) 978-4792
Fax
(316) 978-3517
NPI assigned
Jul 2, 2018
Last updated
Oct 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Dr. Teresa Hall, PH.D
Title
Vice President for Student Affairs
Phone
(316) 978-3021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1845 Fairmount
Wichita, KS 67260-0092

Mailing address

1845 Fairmount
Wichita, KS 67260-0092
Phone (316) 978-4792

National Provider Directory

National Provider Directory
Tax ID family
Wichita State 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.

Locations

1845 Fairmount St
#209
Wichita, KS 67260
Phone (316) 978-3620

1845 Fairmount St
Ste 92
Wichita, KS 67260

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1174019293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 FAIRMOUNT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672600092",
            "telephone_number": "316-978-4792",
            "fax_number": "316-978-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 FAIRMOUNT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672600092",
            "telephone_number": "316-978-4792",
            "fax_number": "316-978-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA STATE UNIVERSITY STUDENT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR STUDENT AFFAIRS",
        "authorized_official_telephone_number": "316-978-3021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.