NPIMap

Organization Active NPI

MN State Colleges and Universities

  • Student Health Clinic/Center
  • Mankato, MN
National Provider Identifier
1386629368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
MN STATE COLLEGES AND UNIVERSITIES
Practice address
600 Maywood Ave
21 Carkoski Commons
Mankato, MN 56001-7008
Phone
(507) 389-6276
NPI assigned
Dec 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christine Connolly
Title
Director
Phone
(507) 389-5689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

600 Maywood Ave
21 Carkoski Commons
Mankato, MN 56001-7008

Mailing address

600 Maywood Ave
21 Carkoski Commons
Mankato, MN 56001-7008
Phone (507) 389-6276

Other identifiers 2

IdentifierTypeStateIssuer
17278MAOtherMNBLUECROSS BLUESHIELD
167195OtherMNUCARE

Other names 1

  • MSU Student Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Cloud State University27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

600 Maywood Ave
#21
Mankato, MN 56001
Phone (507) 389-6276

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386629368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAYWOOD AVE",
            "address_2": "21 CARKOSKI COMMONS",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017008",
            "telephone_number": "507-389-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAYWOOD AVE",
            "address_2": "21 CARKOSKI COMMONS",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017008",
            "telephone_number": "507-389-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MN STATE COLLEGES AND UNIVERSITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "507-389-5689"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "17278MA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "167195",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSU Student Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.