CENTRAL STATE UNIVERSITY NPI 1871057992

NPI Information

  • NPI: 1871057992
  • Provider Name: CENTRAL STATE UNIVERSITY
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 36D0033865
  • Address: 1400 BRUSH ROW RD.
    WILBERFORCE, OH
    ZIP 45384
  • Phone: (937) 376-6076

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NPI Details

CENTRAL STATE UNIVERSITY is a family medicine in Wilberforce, OH. 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. CENTRAL STATE UNIVERSITY NPI is 1871057992. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1400 BRUSH ROW RD.
WILBERFORCE, OH
ZIP 45384
Phone: (937) 376-6076
Fax: (937) 376-6647

The provider's authorized official is Karen Mathews .
The authorized official title is Executive Director and has the following contact phone number (937) 376-6076.

The CLIA number assigned to this NPI record is 36D0033865 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/23/2019 and was last updated on 1/23/2019.

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: 11/21/2025

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