NPIMap

Organization Active NPI

Southwest Minnesota State University Student Health Services

  • Student Health Clinic/Center
  • Marshall, MN
National Provider Identifier
1841762754
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
SOUTHWEST MINNESOTA STATE UNIVERSITY STUDENT HEALTH SERVICES
Practice address
1501 State St # Ba158
Marshall, MN 56258-3306
Phone
(507) 537-7202
Fax
(507) 537-7259
NPI assigned
Dec 18, 2018
Last updated
Dec 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Authorized official

Name
Valerie Dallenbach, RN, BSN, PHN
Title
Director of Student Health Services
Phone
(507) 537-7202

Specialties & licenses 1

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

Addresses

Primary practice location

1501 State St # Ba158
Marshall, MN 56258-3306

Mailing address

1501 State St
Marshall, MN 56258-3306
Phone (507) 537-7202

National Provider Directory

National Provider Directory
Tax ID family
Minnesota State Colleges Universities27 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

1501 State St
Marshall, MN 56258
Phone (507) 537-6297

1501 State St
#158
Marshall, MN 56258
Phone (507) 537-7202

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1841762754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 STATE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562583306",
            "telephone_number": "507-537-7202",
            "fax_number": "507-537-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 STATE ST # BA158",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562583306",
            "telephone_number": "507-537-7202",
            "fax_number": "507-537-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MINNESOTA STATE UNIVERSITY STUDENT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "DALLENBACH",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT HEALTH SERVICES",
        "authorized_official_telephone_number": "507-537-7202",
        "authorized_official_credential": "RN, BSN, PHN"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.