NORTHWEST MISSOURI STATE


Address: 800 University Dr, Maryville, MO 64468-6015
Phone: 6605621212

NORTHWEST MISSOURI STATE (NPI# 1225310204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225310204
Entity Type Organization
Organization Name NORTHWEST MISSOURI STATE
Practice Address 800 University Dr
Maryville
MO 64468-6015
Mailing Address Po Box 819020
Dallas
TX 75381-9020
Practice Telephone 6605621212
Enumeration Date 2011-09-15
Last Update Date 2011-09-15
Authorized Official Name KELLY QUINLIN (HEAD ATHLETIC TRAINER)
Authorized Official Telephone 6605621313
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NORTHWEST MISSOURI STATE UNIVERSITY 800 University Dr, Maryville, MO 64468-6015

Office Location

Street Address 800 UNIVERSITY DR
City MARYVILLE
State MO
Zip Code 64468-6015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124087069 David Eaton Colt Specialist/Technologist 800 University Dr, Lac - 043, Maryville, MO 64468-6015 2006-03-20
1629604996 Kelly Griffith Specialist/Technologist 800 University Dr, Maryville, MO 64468-6015 2020-03-19
1750821260 Mark Masalskis Student in an Organized Health Care Education/Training Program 800 University Dr, Maryville, MO 64468-6015 2017-03-02
1376095463 Christina Tapps Specialist/Technologist 800 University Dr, Northwest Missouri State University Lamkin Center, Maryville, MO 64468-6015 2016-10-25
1821548926 Lisa Finney Nurse Practitioner 800 University Dr, Maryville, MO 64468-6015 2016-10-12
1083164156 Northwest Mo State University Clinic/Center 800 University Dr, Maryville, MO 64468-6015 2016-10-12
1043697899 Elizabeth Hevern Specialist/Technologist 800 University Dr, Maryville, MO 64468-6015 2015-04-30
1477947547 Logan Michael Wood Student in an Organized Health Care Education/Training Program 800 University Dr, Northwest Missouri State University, Maryville, MO 64468-6015 2015-03-26
1376988121 Matthew Joseph Honerman Specialist/Technologist 800 University Dr, Maryville, MO 64468-6015 2013-05-07
1841635877 Riley Dale Watkins Specialist/Technologist 800 University Dr, Maryville, MO 64468-6015 2013-05-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619315603 William Sean Prescott Counselor 318 North Main, Maryville, MO 64468 2013-06-12
1215284617 Janet Luzmoor Counselor 109 East Summit Dr, Maryville, MO 64468 2012-08-06
1629336177 Kristi Renee White Social Worker 423 N Market St, Maryville, MO 64468 2012-05-02
1285942474 Kyle William Bowers Physical Therapist 2016 South Main Street, Maryville, MO 64468 2010-09-22
1861600660 Debra Anne Hopkins Physical Therapist 2416 South Main St, Maryville, MO 64468 2007-05-18
1023235975 Susan Kay Grispino Occupational Therapist Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 2007-04-20
1760542567 North West Missouri State University Clinic/Center 800 University Drive, Maryville, MO 64468 2006-12-11
1528154994 Bruce E Twaddle Dentist 231 Summit Drive, Maryville, MO 64468 2006-10-05
1669588075 Stanley David Snyder Dentist 2825 South Main Street, Maryville, MO 64468 2006-08-21
1710906896 Ileen Richey-arellin Social Worker 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 2006-07-19
Find all providers in zip 64468

Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760542567 North West Missouri State University Clinic/Center 800 University Drive, Maryville, MO 64468 2006-12-11
1083164156 Northwest Mo State University Clinic/Center 800 University Dr, Maryville, MO 64468-6015 2016-10-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851860498 Excelsior Springs Physician Clinic LLC Clinic/Center 25610 Park Rd N, Lawson, MO 64062-8938 2018-11-13
1942446232 School District of Kansas City, Missouri Clinic/Center 4747 Flora, Kansas City, MO 64110 2008-12-17
1215173505 School District of Kansas City, Missouri Clinic/Center 315 East 39th St., Kansas City, MO 64111 2008-12-17
1487890778 School District of Kansas City, Mo Clinic/Center 3221 Indiana Ave., Kansas City, MO 64128 2008-12-17
1861643298 School District of Kansas City, Missouri Clinic/Center 315 E 39th St, Kansas City, MO 64111-1530 2008-10-03
1942459128 School District of Kansas City, Missouri Clinic/Center 4747 Flora Ave, Kansas City, MO 64110-2106 2008-09-12
1841375359 University of Missouri Board of Curators Clinic/Center 1101 Hospital Dr Dc800.00, Columbia, MO 65212-0001 2006-10-25
1598720237 Webster University Clinic/Center 470 E Lockwood Ave, Health Services, Saint Louis, MO 63119-3141 2006-04-18
1558601518 Habif Health and Wellness Center Clinic/Center 6643 Shepley Dr, Saint Louis, MO 63105-2354 2013-02-27
1790051050 The Curators of The University of Missouri Clinic/Center 910 W 10th St, Rolla, MO 65409-0760 2012-03-30
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Competitor

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City MARYVILLE
Zip Code 64468

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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