NPIMap

Organization Active NPI

North Carolina a&T State University

Doing business as Student Health Center

  • Health Service Clinic/Center
  • Greensboro, NC
National Provider Identifier
1144629833
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
24834 Issued in NC
Legal business name
NORTH CAROLINA A&T STATE UNIVERSITY
Doing business as
Student Health Center
Practice address
112 N Benbow Rd
Greensboro, NC 27411-0002
Phone
(336) 334-7880
Fax
(336) 334-7154
NPI assigned
Aug 19, 2014
Last updated
Aug 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Bettye Young-Stewart
Title
Health Center Director
Phone
(336) 334-7880

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 00549 NC
Health Service Clinic/Center 261QH0100X 9900552 NC
Health Service Clinic/Center 261QH0100X 9501417 NC
Health Service Clinic/Center 261QH0100X 24834 NC Primary

Addresses

Primary practice location

112 N Benbow Rd
Greensboro, NC 27411-0002

Mailing address

112 N Benbow Rd
Greensboro, NC 27411-0002
Phone (336) 334-7880

Other identifiers 1

IdentifierTypeStateIssuer
028UWOtherNCBCBSNC STUDEN BLUE

Other names 1

  • Student Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Carolina at State University5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1144629833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N BENBOW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274110002",
            "telephone_number": "336-334-7880",
            "fax_number": "336-334-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N BENBOW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274110002",
            "telephone_number": "336-334-7880",
            "fax_number": "336-334-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA A&T STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG-STEWART",
        "authorized_official_first_name": "BETTYE",
        "authorized_official_title_or_position": "HEALTH CENTER DIRECTOR",
        "authorized_official_telephone_number": "336-334-7880"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "00549",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "9900552",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "9501417",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "24834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC STUDEN BLUE",
            "identifier": "028UW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.