WICHITA STATE UNIVERSITY STUDENT HEALTH SERVICES
NPI 1174019293
Clinic/Center - Student Health in Wichita, KS
NPI Status: Active since July 02, 2018
Contact Information
1845 FAIRMOUNT
WICHITA, KS
ZIP 67260
Phone: (316) 978-4792
Fax: (316) 978-3517
- Organization
- Clinic/Center
- Student Health
- Accepts Insurance
- CLIA Number: 17D0671176
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 08-31-2026
About WICHITA STATE UNIVERSITY STUDENT HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Wichita State University Student Health Services, a primary care provider established in Wichita, Kansas operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1174019293 assigned on July 2018. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Teresa Hall Ph.d (Vice President For Student Affairs)
- NPI
- 1174019293
- Provider Name
- WICHITA STATE UNIVERSITY STUDENT HEALTH SERVICES
- Entity Type
- Organization
- Location Address
- 1845 FAIRMOUNT WICHITA, KS 67260
- Location Phone
- (316) 978-4792
- Location Fax
- (316) 978-3517
- Mailing Address
- 1845 FAIRMOUNT WICHITA, KS 67260
- Mailing Phone
- (316) 978-4792
- Mailing Fax
- (316) 978-3517
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-02-2018
- Last Update Date
- 10-04-2021
- Code Navigator
A primary care provider (PCP) like Wichita State University Student Health Services sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Student Health
- Taxonomy Code
- 261QS1000X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare EPO Bronze - EPO
- BlueCare EPO Gold - EPO
- BlueCare EPO Gold Plus - EPO
- BlueCare EPO Silver Plus - EPO
- BlueCare EPO Simple Bronze HDHP - EPO
- BlueCare EPO Simple Silver HDHP - EPO
- BlueCare EPO Standardized Expanded Bronze - EPO
- BlueCare EPO Standardized Gold - EPO
- BlueCare EPO Standardized Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 17D0671176
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- DELANE H. VAUGHN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Wichita State University Student Health Services in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174019293, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
WICHITA, KS 67260
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174019293, enumerated as an "organization" on July 02, 2018.
The provider is located at 1845 FAIRMOUNT WICHITA, KS 67260 and the phone number is (316) 978-4792.
Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc.. Please consult your insurance carrier or call the provider to verify.
