Organization Active NPI

Davidson College Student Health Service

  • Student Health Clinic/Center
  • Davidson, NC
National Provider Identifier
1073733390
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
NC-AD 1494 335 Issued in NC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.