MEDSTAT NPI 1902204076

NPI Information

NPI: 1902204076
Provider Name: MEDSTAT
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 15D2038922

Address:
1500 PROVIDENT DR
SUITE A
WARSAW, IN
ZIP 46580
Phone: (574) 372-7637
Get Directions

MEDSTAT is an urgent care clinic center in Warsaw, IN. MEDSTAT NPI is 1902204076. The provider is registered as an organization entity type.

The provider's business location address is:

1500 PROVIDENT DR
SUITE A
WARSAW, IN
ZIP 46580-377
Phone: (574) 372-7637

The provider's authorized official is Megan Martin .
The authorized official title is Director and has the following contact phone number (574) 372-7638.

The CLIA number assigned to this NPI record is 15D2038922 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2014 and was last updated on 12/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	71005240A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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