Missouri State University Athletic Training Services

LBN: Missouri State University Athletic Medical And Rehabilitation Services
Missouri State University Athletic Training Services is an health care organization with primary practice located at 901 S National Ave , Springfield MO 65897-0027. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Missouri State University Athletic Medical And Rehabilitation Services can be contacted via phone (417) 836-5461, or through Penkalski, James Thomas via phone (417) 836-5461.

Contact Information

Primary practice address
901 S National Ave Springfield MO 65897-0027
Fax: (417) 836-6101
Website:
Authorized official contact:
Name: Penkalski, James Thomas Athletic Trainer, Certified (ATC)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1649341272
LBN Legal business name Missouri State University Athletic Medical And Rehabilitation Services
DBA Doing business as Missouri State University Athletic Training Services
Authorized official Penkalski, James Thomas Athletic Trainer, Certified (ATC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Apr 1st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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