Active NPI
Davidson College Student Health Service
- Student Health Clinic/Center
- Davidson, NC
National Provider Identifier
1073733390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- License
- NC-AD 1494 335
- Legal business name
- DAVIDSON COLLEGE STUDENT HEALTH SERVICE
- Practice address
- 514 N. Main St
Davidson, NC 28036 - Phone
- (704) 894-2300
- Fax
- (704) 894-2615
- NPI assigned
- Apr 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Janet Hunter Poole, RN
- Title
- Supervisor
- Phone
- (704) 894-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | NC-AD 1494 335 | NC | Primary |
Addresses
Primary practice location
514 N. Main St
Davidson, NC 28036
Mailing address
514 N. Main St
Campus Box 7188
Davidson, NC 28035
Phone (704) 894-2300
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Davidson, NC
- NPI 1902011406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073733390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 N. MAIN ST",
"address_2": "CAMPUS BOX 7188",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "28035",
"telephone_number": "704-894-2300",
"fax_number": "704-894-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 N. MAIN ST",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "28036",
"telephone_number": "704-894-2300",
"fax_number": "704-894-2615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIDSON COLLEGE STUDENT HEALTH SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "POOLE",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "HUNTER",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "704-894-2300",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": "NC",
"license": "NC-AD 1494 335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davidson, NC
- Christin S Darnell, MSN, FNP, RD, CDCES
- William Taylor Darsey, LCSW
- Joseph Scott Dastrup, D.D.S.
- Davidson Clergy Center
- Davidson Clinic (Atrium Health Primary Care Davidson Clinic)
- Davidson Family Medicine, P.a.
- Davidson Family Therapy
- Davidson Fire
- Davidson Health Assoc PA (Davidson Chiropractic)
- Audrey Hopkins Davis, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.