NWMSU WELLNESS CENTER – NPI #1760542567
Clinic/Center

NWMSU WELLNESS CENTER is an AHC clinic located in MARYVILLE, MO. NPPES has assigned the NPI number 1760542567 to NWMSU WELLNESS CENTER on December 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NWMSU WELLNESS CENTER” is a dba name, the actual legal business name for this organization is NORTHWEST MISSOURI STATE UNIVERSITY. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

The NPI profile was previously updated about 3 years ago on Jan 26, 2023. 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 NWMSU WELLNESS CENTER below.

NPI Profile for
NORTHWEST MISSOURI STATE UNIVERSITY

NPI Number
1760542567
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWEST MISSOURI STATE UNIVERSITY
Doing Business As (dba): NWMSU WELLNESS CENTER
Primary location
800 UNIVERSITY DRIVE
MARYVILLE, MO 64468
Phone: (660) 562-1348 Fax: (660) 562-1585
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUSAN WATSON
MEDICAL DIRECTOR / PHYSICIAN
Phone: (660) 562-1348
Updated
Certification Date
Jan 26, 2023

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.

Taxonomy Code(s)

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
261QS1000X
- Clinic/Center / Student Health (Primary)

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.