# UNIVERSITY OF CENTRAL MISSOURI STUDENT HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF CENTRAL MISSOURI
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770599581
- **Legal business name:** UNIVERSITY OF CENTRAL MISSOURI
- **Authorized official:** GERIANNE BLISS MD (CHIEF PHYSICIAN)
- **Authorized official phone:** (660) 543-4770

## Contact information

- **Practice address:** 600 S COLLEGE AVE, WARRENSBURG, MO 64093-2621
- **Practice address phone:** (660) 543-4770
- **Practice address fax:** (660) 543-8222
- **Mailing address:** PO BOX 5199, ABILENE, TX 79608-5199
- **Mailing address phone:** (866) 890-6390
- **Mailing address fax:** (325) 437-8390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 12/10/2007