OrganizationActive
Four States Surgery Center, PC
NPI 1508813627 · Ambulatory Surgical Clinic/Center · Joplin, MO
Provider details
- NPI number
- 1508813627
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Mindy Randles, Director of Rev Cycle
- License
- 157-1 (MO)
Practice location
1905 W 32nd St Ste 201
Joplin, MO 64804-1512
Phone: (417) 206-7900
Fax: (417) 206-3871
Mailing address
1531 East Bradford Parkway Ste 100
Springfield, MO 65804-6539
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2024-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.