MISSOURI STATE UNIVERSITY (NPI# 1477893907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477893907 |
| Entity Type | Organization |
| Organization Name | MISSOURI STATE UNIVERSITY |
| Other Organization Name | THE KITCHEN CLINIC |
| Practice Address |
1630 N Jefferson Ave Springfield MO 65803-2819 |
| Mailing Address |
Missouri State Department of Nursing 901 S. National Avenue Springfield MO 65897-0001 |
| Practice Telephone | 4178371504 |
| Practice Fax Number | 4178371545 |
| Mailing Telephone | 4178365310 |
| Mailing Fax Number | 4178365484 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | MARK BOWER (PHYSICIAN, MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4178371500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
2013003462 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Kitchen Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073600334 | Missouri State University | Psychologist | 715 S Florence, Springfield, MO 65897 | 2006-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MISSOURI STATE UNIVERSITY FOUNDATION | 300 S Jefferson Ave. Suite 100, Springfield, MO 65806-2211 |
| Street Address |
1630 N JEFFERSON AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65803-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265479984 | Mark E Bower | Internal Medicine | 1630 N Jefferson Ave, Springfield, MO 65803-2819 | 2006-06-01 |
| 1598013724 | Arthur L Trask | General Practice | 1630 N Jefferson Ave, Springfield, MO 65803-2819 | 2012-08-20 |
| 1073881710 | The Kitchen, Inc | Voluntary or Charitable | 1630 N Jefferson Ave, Springfield, MO 65803-2819 | 2011-12-08 |
| 1770729428 | Hollis G. Wright II | Pediatrics | 1630 N Jefferson Ave, Springfield, MO 65803-2819 | 2008-12-31 |
| 1215068853 | Susan Mary Johnson | Counselor | 1630 N Jefferson Ave, Springfield, MO 65803-2819 | 2007-03-07 |
| 1760496814 | Kathryn Smith Bailey | Nurse Practitioner | 1630 N Jefferson Ave, Springfield, MO 65803-2819 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
| 1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
| 1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
| 1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
| 1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
| Find all providers in zip 65803 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316268220 | Ruthie Faye Berrell | Clinic/Center | 1640 G Street, Springfield, OR 97477 | 2010-06-15 |
| 1891816930 | Sunrise-amanecer Inc. | Clinic/Center | 19 Milford St, Springfield, MA 01107-1332 | 2007-04-03 |
| 1952368680 | C.h. Health Services Company | Clinic/Center | 1 E Pleasant St, Springfield, OH 45506-2201 | 2006-04-27 |
| 1750777025 | Community Health Centers of Lane County | Clinic/Center | 2073 Olympic St, Springfield, OR 97477-3413 | 2015-04-13 |
| 1629477419 | Walgreens | Clinic/Center | 1930 W Grand St, Springfield, MO 65802-4870 | 2014-08-18 |
| 1962531004 | City of Springfield | Clinic/Center | 311 State Street, Springfield, MA 01105 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245880608 | Strength-based Therapeutic Organized Education | Clinic/Center | 4055 Edmundson Rd, Saint Louis, MO 63134-3947 | 2019-09-18 |
| 1184197816 | Flourish. Nutrition Therapy | Clinic/Center | 6222 Potomac St, Saint Louis, MO 63139-2011 | 2019-01-04 |
| 1164860375 | Let's Talk Teen Clinic Inc. | Clinic/Center | 119 Church Street, Suite 131, Ferguson, MO 63135 | 2013-06-10 |
| 1952649444 | Kansas City Care Clinic | Clinic/Center | 3515 Broadway Street, Kansas City, MO 64111 | 2013-01-18 |
| 1437460896 | Medical Missions for Christ | Clinic/Center | 1974 N Business Route 5, Camdenton, MO 65020-2612 | 2010-06-30 |
| 1649503772 | Safe Kids | Clinic/Center | 219 Creekside Office Dr, Wentzville, MO 63385-3290 | 2009-09-08 |
| 1114174935 | Dade County Health Department | Clinic/Center | 413 W Water St, Greenfield, MO 65661-1353 | 2008-08-22 |
| 1720272289 | University of Kansas Hospital Authourity | Clinic/Center | 501 W 107th St, Grand Court One of Kansas City, Kansas City, MO 64114-5919 | 2007-08-28 |
| 1255547592 | Social Welfare Board | Clinic/Center | 904 S 10th St Ste A, Saint Joseph, MO 64503-2400 | 2007-05-15 |
| 1265909154 | Nutriformance | Clinic/Center | 10407 Clayton Rd, Frontenac, MO 63131-2909 | 2018-10-29 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65803 |
Please comment or provide details below to improve the information on MISSOURI STATE UNIVERSITY.
| 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.