Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Four States Surgery Center, PC

Organization Ambulatory Surgical Clinic/Center · NPI 1508813627

Four States Surgery Center, PC is an Ambulatory Surgical Clinic/Center in Joplin, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1905 W 32nd St Ste 201
Joplin, MO 64804-1512
Phone: (417) 206-7900
Fax: (417) 206-3871
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 157-1 (MO)

Record details

NPI number1508813627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mindy Randles — Director Of Rev Cycle · (417) 887-3900
Other names Four States Surgery Center
NPI enumeratedMay 27, 2006
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address1531 East Bradford Parkway Ste 100, Springfield, MO 65804-6539

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