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Four States Surgery Center, PC

Ambulatory Surgical Clinic/Center in Joplin, MO · enumerated 2006 · authorized official Mindy Randles, Director of Rev Cycle.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508813627

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Registry record

Entity type Organization (Type 2)
Legal business name Four States Surgery Center, PC
Other name <Unavail>
Practice address 1905 W 32nd St Ste 201, Joplin, MO, 64804
Phone (417) 206-7900
Fax (417) 206-3871
Enumeration date May 27, 2006
Last updated in NPPES Feb 27, 2024

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 157-1 (MO) Primary

Authorized official

Name Mindy Randles
Title Director of Rev Cycle
Phone (417) 887-3900

Other identifiers

Identifier Type State Issuer
M4120R05 Medicaid OK -
504769902 Medicaid MO -
67868614-01 Medicaid KS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Four States Surgery Center, PC?
NPPES lists Mindy Randles (Director of Rev Cycle) as the authorized official for this organization.
What is the NPI number for Four States Surgery Center, PC?
The NPI for Four States Surgery Center, PC is 1508813627, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-27.