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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHWEST MISSOURI STATE UNIVERSITY | 800 University Dr, Maryville, MO 64468-6015 |
| Street Address |
800 UNIVERSITY DR |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-6015 |
| 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 |
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| 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 Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| 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 |
| 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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| 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.