Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MN STATE COLLEGES AND UNIVERSITIES
Active
Organization
MN STATE COLLEGES AND UNIVERSITIES
Active
Other names
MSU Student Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE CONNOLLY (DIRECTOR)
(507) 389-5689
Entity
Organization
Contact information
Practice address
600 MAYWOOD AVE, 21 CARKOSKI COMMONS, MANKATO, MN 56001-7008
(507) 389-6276
Mailing address
600 MAYWOOD AVE, 21 CARKOSKI COMMONS, MANKATO, MN 56001-7008
(507) 389-6276
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167195
UCARE
MN
01
—
17278MA
BLUECROSS BLUESHIELD
MN
Enumeration date
12/13/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up