FOUR STATES SURGERY CENTER, – NPI #1508813627
Clinic/Center
FOUR STATES SURGERY CENTER, is an AHC clinic located in JOPLIN, MO. NPPES has assigned the NPI number 1508813627 to FOUR STATES SURGERY CENTER, on May 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FOUR STATES SURGERY CENTER,” is a dba name, the actual legal business name for this organization is FOUR STATES SURGERY CENTER, PC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical
The NPI profile was previously updated about 2 years ago on Feb 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FOUR STATES SURGERY CENTER, below.
NPI Profile for
FOUR STATES SURGERY CENTER, PC
(more than 20 years ago)
JOPLIN, MO 64804-1512 Phone: (417) 206-7900 Fax: (417) 206-3871
SPRINGFIELD, MO 65804-6539 Phone: (417) 887-3900 Fax: (417) 823-2894
DIRECTOR OF REV CYCLE
Phone: (417) 887-3900
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for FOUR STATES SURGERY CENTER,
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | KS | 67868614-01 | |
| medicaid | MO | 504769902 | |
| medicaid | OK | M4120R05 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA1903X - Clinic/Center / Ambulatory Surgical (Primary) |
MO | 157-1 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.