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College Skyline Center LLC

Clinic/Center in Joplin, MO · enumerated 2005 · authorized official Tracy Eddington, Administration.

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

National Provider Identifier

1598764110

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Registry record

Entity type Organization (Type 2)
Legal business name College Skyline Center LLC
Practice address 1230 N Duquesne Rd, Joplin, MO, 64801
Phone (417) 782-1443
Fax (417) 782-3240
Enumeration date Jul 15, 2005
Last updated in NPPES May 4, 2017

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Tracy Eddington
Title Administration
Phone (417) 782-1443

Other identifiers

Identifier Type State Issuer
507593408 Medicaid MO -

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

Where is College Skyline Center LLC located?
The practice location on file with NPPES is in Joplin, MO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-05-04. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-04.