WICHITA STATE UNIVERSITY STUDENT HEALTH SERVICES
NPI 1174019293
Clinic/Center - Student Health in Wichita, KS

Active since July 02, 2018CLIA 17D0671176 · Microscopy
1845 FAIRMOUNT, WICHITA, KS 67260(316) 978-4792(316) 978-3517 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2021, May 14, 2021, Jul 2, 2018 (3 updates tracked since 2018).

About Wichita State University Student Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WICHITA STATE UNIVERSITY STUDENT HEALTH SERVICES (NPI 1174019293) is a healthcare organization registered as a student health in Wichita, Kansas and active in the NPI registry since July 2018. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Teresa Hall, Vice President For Student Affairs, as its authorized official.

NPPES Registry Identity

NPI1174019293
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameWICHITA STATE UNIVERSITY STUDENT HEALTH SERVICES
Location Address1845 FAIRMOUNTWichita, KS 67260-0092
Mailing Address1845 FairmountWichita, KS 67260-0092 · (316) 978-4792 · Fax (316) 978-3517
Fax(316) 978-3517
Organization SubpartNo
Authorized OfficialTeresa HallVice President For Student Affairs · (316) 978-3021
Enumeration DateJuly 2, 2018
Last NPPES UpdateOctober 4, 20213 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
NPI 1174019293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
Also ListedGeneral PracticeTaxonomy 208D00000X
1845 FAIRMOUNT, Wichita, KS 67260

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 17D0671176

Wichita State University Student Health Service · Wichita, KS
Active · expires Aug 31, 2026
CLIA Number17D0671176
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDelane H. Vaughn
Laboratory Phone(316) 978-4792
Laboratory LocationWichita State University Student Health Service2060 N Mid-Campus Drive, Wichita, KS 67260
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
1845 FAIRMOUNT, BOX 18
WICHITA, KS 67260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wichita State University Student Health Services's NPI number?

The NPI number for Wichita State University Student Health Services is 1174019293. It was assigned to this organization in the NPPES registry on July 2, 2018.

Where is Wichita State University Student Health Services located?

Wichita State University Student Health Services is located at 1845 Fairmount, Wichita, KS 67260. The listed phone number is (316) 978-4792.

What is Wichita State University Student Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Does Wichita State University Student Health Services hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 17D0671176) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wichita State University Student Health Services accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Wichita State University Student Health Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wichita State University Student Health Services was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.