NPIMap

Organization Active NPI

Wake Forest University Student Health Service

  • Student Health Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1053452953
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE
Practice address
1834 Reynolda Road
Mackie Health Center - Reynolds Gym - Wingate Rd. Wfu
Winston-Salem, NC 27106
Phone
(336) 758-5218
Fax
(336) 758-6054
NPI assigned
Feb 12, 2007
Last updated
Jan 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Cecil Dwight Price, M.D.NPI 1730220963
Title
Director
Phone
(336) 758-5218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

1834 Reynolda Road
Mackie Health Center - Reynolds Gym - Wingate Rd. Wfu
Winston-Salem, NC 27106

Mailing address

PO Box 7386
Winston Salem, NC 27109-7386
Phone (336) 758-5218

National Provider Directory

National Provider Directory
Tax ID family
Wake Forest Cardiac Reh3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1053452953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7386",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271097386",
            "telephone_number": "336-758-5218",
            "fax_number": "336-758-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 REYNOLDA ROAD",
            "address_2": "MACKIE HEALTH CENTER - REYNOLDS GYM - WINGATE RD. WFU",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27106",
            "telephone_number": "336-758-5218",
            "fax_number": "336-758-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-758-5218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.