Provider Type Icon

FOUR STATES SURGERY CENTER PC NPI 1508813627


NPI Information

NPI: 1508813627
Provider Name: FOUR STATES SURGERY CENTER, PC

Doing Business As: FOUR STATES SURGERY CENTER,

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1905 W 32ND ST STE 201
JOPLIN, MO
ZIP 64804
Phone: (417) 206-7900
Get Directions

FOUR STATES SURGERY CENTER, PC is an ambulatory surgical clinic center in Joplin, MO. FOUR STATES SURGERY CENTER, PC NPI is 1508813627. The provider is registered as an organization entity type.
The provider Is Doing Business As Four States Surgery Center,.

The provider's business location address is:

1905 W 32ND ST STE 201
JOPLIN, MO
ZIP 64804-512
Phone: (417) 206-7900
Fax: (417) 206-3871

The provider's authorized official is Mindy Randles .
The authorized official title is Director Of Rev Cycle and has the following contact phone number (417) 887-3900.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 2/27/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical157-1MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M4120R05MEDICAIDOKLAHOMA
2504769902MEDICAIDMISSOURI
367868614-01MEDICAIDKANSAS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.