Msu Sports Medicine

LBN: Minnesota State University
Msu Sports Medicine is an health care organization with primary practice located at 135 Myers Fieldhouse , Mankato MN 56001-6171. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Minnesota State University can be contacted via phone (507) 389-2099, or through Bass, Mouzon via phone (972) 367-4845.

Contact Information

Primary practice address
135 Myers Fieldhouse Mankato MN 56001-6171
Phone: (507) 389-2099
Fax: (972) 367-3452
Website:
Map and Directions
Authorized official contact:
Name: Bass, Mouzon
Phone: (972) 367-4845

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X

Profile Details

NPI number 1528438116
LBN Legal business name Minnesota State University
DBA Doing business as Msu Sports Medicine
Authorized official Bass, Mouzon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2015
Last updated Sep 25th, 2015 - about 11 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