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EVANGEL UNIVERSITY NPI 1518310101


NPI Information

NPI: 1518310101
Provider Name: EVANGEL UNIVERSITY
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 26D2210150

Address:
1111 N GLENSTONE AVE
ASHCROFT BUILDING
SPRINGFIELD, MO
ZIP 65802
Phone: (417) 865-2815
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EVANGEL UNIVERSITY is a clinic center in Springfield, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EVANGEL UNIVERSITY NPI is 1518310101. The provider is registered as an organization entity type.

The provider's business location address is:

1111 N GLENSTONE AVE
ASHCROFT BUILDING
SPRINGFIELD, MO
ZIP 65802-125
Phone: (417) 865-2815

The provider's authorized official is Marisa Foltz .
The authorized official title is Head Athletic Trainer and has the following contact phone number (417) 865-2815.

The CLIA number assigned to this NPI record is 26D2210150 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2016 and was last updated on 7/19/2016.


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
1261Q00000XClinic/Center2014021703MISSOURIYes

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
11659769768OTHERMISSOURIATC
21184022501OTHERMISSOURIATC
31982055901OTHERMISSOURIATC
41700238615OTHERMISSOURIATC

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

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