Fayetteville State University/Dept of Nursing

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

FAYETTEVILLE STATE UNIVERSITY/DEPT OF NURSING

Practice address

1200 Murchison Road
The Spaulding Building
Fayetteville, NC 28301-4252

Phone

(910) 672-2602

Fax

(910) 672-1366

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Vinette Eily Gordon

Title

Director Student Health Center

Phone

(910) 672-2602

Specialties & licenses 2

Addresses

Tax ID family

Fayetteville State University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Fayetteville State University

  • Student Health Clinic/Center
  • Fayetteville, NC
  • NPI 1700439023
  NPD tax ID

Locations

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1053575233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MURCHISON ROAD",
            "address_2": "THE SPAULDING BUILDING",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014252",
            "telephone_number": "910-672-2602",
            "fax_number": "910-672-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MURCHISON ROAD",
            "address_2": "THE SPAULDING BUILDING",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014252",
            "telephone_number": "910-672-2602",
            "fax_number": "910-672-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE STATE UNIVERSITY/DEPT OF NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "VINETTE",
        "authorized_official_middle_name": "EILY",
        "authorized_official_title_or_position": "DIRECTOR STUDENT HEALTH CENTER",
        "authorized_official_telephone_number": "910-672-2602",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "46437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayetteville Pulmonology Critical Care PC
• Fayetteville Sleep Appliances LLC
• Fayetteville State University
• Fayetteville State University
• Fayetteville State University
• Fayetteville Urgent Care and Family Medicine PA
• Fayetteville Urology Associates PA
• Fayetteville VA Hospital
• Fayetteville VA Medical Center
• Fayetteville Vamc

• All providers in Fayetteville, NC
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.