NPIMap

Organization Active NPI

Ecsu Student Health Services

  • Student Health Clinic/Center
  • Elizabeth City, NC
National Provider Identifier
1083056287
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
ECSU STUDENT HEALTH SERVICES
Practice address
1704 Weeksville Rd
Elizabeth City, NC 27909-7977
Phone
(252) 335-3267
Fax
(252) 335-3269
NPI assigned
Jul 29, 2013
Last updated
Jul 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Regina McCoy-Davis, RN, MSN
Title
Director
Phone
(252) 335-3267

Specialties & licenses 1

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

Addresses

Primary practice location

1704 Weeksville Rd
Elizabeth City, NC 27909-7977

Mailing address

1704 Weeksville Rd
Elizabeth City, NC 27909-7977
Phone (252) 335-3267

National Provider Directory

National Provider Directory
Tax ID family
Ecsu Student Health Services2 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.

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1083056287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 WEEKSVILLE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097977",
            "telephone_number": "252-335-3267",
            "fax_number": "252-335-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 WEEKSVILLE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097977",
            "telephone_number": "252-335-3267",
            "fax_number": "252-335-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECSU STUDENT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "MCCOY-DAVIS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-335-3267",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.