Pittsburg State University Sports Medicine

LBN: Pittsburg State University
Pittsburg State University Sports Medicine is an health care organization with primary practice located at 1701 S Broadway St 110 Russ Hall, Pittsburg KS 66762-5856. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Pittsburg State University can be contacted via phone (620) 231-7000, or through Bass, Mouzon via phone (972) 367-4845.

Contact Information

Primary practice address
1701 S Broadway St 110 Russ Hall Pittsburg KS 66762-5856
Fax:
Website:
Authorized official contact:
Name: Bass, Mouzon

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 04-28648 Kansas

Profile Details

NPI number 1821544479
LBN Legal business name Pittsburg State University
DBA Doing business as Pittsburg State University Sports Medicine
Authorized official Bass, Mouzon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 10 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.

Request for update

Popular Providers