FOUR STATES SURGERY CENTER,
NPI 1508813627
Clinic/Center - Ambulatory Surgical in Joplin, MO

Q: What is Four States Surgery Center, PC's NPI number?

The NPI number for Four States Surgery Center, PC is 1508813627. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Four States Surgery Center,.

Q: What is Four States Surgery Center, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since May 27, 2006CLIA 26D0959413 · Waiver

1905 W 32ND ST STE 201, JOPLIN, MO 64804(417) 206-7900(417) 206-3871 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Four States Surgery Center, NPPES

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

FOUR STATES SURGERY CENTER, (NPI 1508813627) is a healthcare organization registered as an ambulatory surgical in Joplin, Missouri and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Mindy Randles, Director Of Rev Cycle, as its authorized official.

NPPES Registry Identity

NPI1508813627

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameFOUR STATES SURGERY CENTER, PC

Location Address1905 W 32ND ST STE 201Joplin, MO 64804-1512

Mailing Address1531 East Bradford Parkway Ste 100Springfield, MO 65804-6539 · (417) 887-3900 · Fax (417) 823-2894

Phone(417) 206-7900

Fax(417) 206-3871

Organization SubpartNo

Authorized OfficialMindy RandlesDirector Of Rev Cycle · (417) 887-3900

Enumeration DateMay 27, 2006

Last NPPES UpdateFebruary 27, 2024

NPPES CertifiedFebruary 27, 2024

✔ NPI 1508813627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in MO · 157-1

1905 W 32ND ST STE 201, Joplin, MO 64804

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Other Names 1

Doing Business AsFour States Surgery Center,

Other Identifiers 3

MedicaidM4120R05OK

Medicaid504769902MO

Medicaid67868614-01KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 of Waiver 26D0959413

Four States Surgery Center · Joplin, MO

Active · expires Aug 30, 2026

CLIA Number26D0959413

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateAugust 31, 2024

Certificate Expiration DateAugust 30, 2026

Laboratory DirectorDaniel R. Osborn

Laboratory Phone(417) 206-7900

Laboratory LocationFour States Surgery Center1905 W 32nd Suite 201, Joplin, MO 64804

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

900 services516 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

165 services115 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

22 services12 patients

Dilation of fluid outflow drainage within eye 66174

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

22 services15 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

22 services19 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

19 services14 patients

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 Four States Surgery Center, PC's NPI number?

The NPI number for Four States Surgery Center, PC is 1508813627. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Four States Surgery Center,.

Where is Four States Surgery Center, PC located?

Four States Surgery Center, PC is located at 1905 W 32nd St Ste 201, Joplin, MO 64804. The listed phone number is (417) 206-7900.

What is Four States Surgery Center, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Four States Surgery Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0959413) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Four States Surgery Center, PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Four States Surgery Center, PC 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 Four States Surgery Center, PC was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.