NPIMap

Organization Active NPI

University of Central Missouri Student Health Center

  • Family Medicine Physician
  • Warrensburg, MO
National Provider Identifier
1770599581
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY OF CENTRAL MISSOURI STUDENT HEALTH CENTER
Practice address
600 S College Ave
Warrensburg, MO 64093-2621
Phone
(660) 543-4770
Fax
(660) 543-8222
NPI assigned
Aug 1, 2006
Organization subpart
Yes
Parent organization
UNIVERSITY OF CENTRAL MISSOURIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Gerianne Bliss, MDNPI 1023010295
Title
Chief Physician
Phone
(660) 543-4770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

600 S College Ave
Warrensburg, MO 64093-2621

Mailing address

PO Box 5199
Abilene, TX 79608-5199
Phone (866) 890-6390

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0045936University of Central Missouri Health Care Center600 South College Street, Warrensburg, MO 64093ComplianceJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Central Mo State Univ Hea2 organizations share this tax ID, including this one
Part of
Central Mo State Univ Hea

Other organizations with this tax ID 1

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

Locations

600 S College Ave
Warrensburg, MO 64093
Phone (660) 543-4770

Practitioners & affiliated clinicians

Practitioners 9

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1770599581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5199",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085199",
            "telephone_number": "866-890-6390",
            "fax_number": "325-437-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S COLLEGE AVE",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640932621",
            "telephone_number": "660-543-4770",
            "fax_number": "660-543-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CENTRAL MISSOURI STUDENT HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CENTRAL MISSOURI",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "GERIANNE",
        "authorized_official_title_or_position": "CHIEF PHYSICIAN",
        "authorized_official_telephone_number": "660-543-4770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.