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MIDWESTERN STATE UNIVERSITY-VINSON HEALTH CENTER NPI 1245282300


NPI Information

NPI: 1245282300
Provider Name: MIDWESTERN STATE UNIVERSITY-VINSON HEALTH CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D0684351

Address:
3410 TAFT BLVD
WICHITA FALLS, TX
ZIP 76308
Phone: (940) 397-4604
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MIDWESTERN STATE UNIVERSITY-VINSON HEALTH CENTER is a family medicine in Wichita Falls, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MIDWESTERN STATE UNIVERSITY-VINSON HEALTH CENTER NPI is 1245282300. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3410 TAFT BLVD
WICHITA FALLS, TX
ZIP 76308-095
Phone: (940) 397-4604
Fax: (940) 397-4504

The provider's authorized official is Peggy A. Boomer .
The authorized official title is Director, Student Health Services and has the following contact phone number (940) 397-4604.

The CLIA number assigned to this NPI record is 45D0684351 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/17/2006 and was last updated on 11/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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