NPIMap

Organization Active NPI

Missouri Southern State University Health Center

  • Student Health Clinic/Center
  • Joplin, MO
National Provider Identifier
1497908842
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
1072289 Issued in MO
Legal business name
MISSOURI SOUTHERN STATE UNIVERSITY HEALTH CENTER
Practice address
3950 Newman Rd
Kuhn Hall 306 Health Services Office
Joplin, MO 64801-1512
Phone
(417) 625-9323
Fax
(417) 659-4376
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Ms. W Janice Dipley, FNP
Title
Director of Health Care Services
Phone
(417) 625-9323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 1072289 MO Primary

Addresses

Primary practice location

3950 Newman Rd
Kuhn Hall 306 Health Services Office
Joplin, MO 64801-1512

Mailing address

3950 Newman Rd
Kuhn Hall 306 Health Services Office
Joplin, MO 64801-1512
Phone (417) 625-9323

National Provider Directory

National Provider Directory
Tax ID family
Missouri Southern State University3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3950 Newman Rd
Ofc
Joplin, MO 64801
Phone (417) 625-9323

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1497908842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 NEWMAN RD",
            "address_2": "KUHN HALL 306 HEALTH SERVICES OFFICE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011512",
            "telephone_number": "417-625-9323",
            "fax_number": "417-659-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 NEWMAN RD",
            "address_2": "KUHN HALL 306 HEALTH SERVICES OFFICE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011512",
            "telephone_number": "417-625-9323",
            "fax_number": "417-659-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI SOUTHERN STATE UNIVERSITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "DIPLEY",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "JANICE",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH CARE SERVICES",
        "authorized_official_telephone_number": "417-625-9323",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "MO",
            "license": "1072289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.