State of West Virginia Concord University
Organization Active NPI Student Health Clinic/Center · Athens, WV
NPI 1194287565 · NPPES record last updated Nov 29, 2023
Key facts
- NPI
- 1194287565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Student Health Clinic/Center 261QS1000X
- Legal business name
- STATE OF WEST VIRGINIA CONCORD UNIVERSITY
- Practice address
- 1000 Vermillion St
Athens, WV 24712-9027 - Phone
- (304) 384-7325
- NPI assigned
- Apr 3, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Hugh David Campbell, PHD
- Title
- Director of Health Services
- Phone
- (304) 384-5331
Practitioners 1
-
John Charles Roberts Jr., MSED, ATC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician |
207PS0010X | |||
| Family Medicine Physician | 207Q00000X | |||
| Athletic Trainer |
2255A2300X | |||
| Student Health Clinic/Center | 261QS1000X | Yes | ||
| Physician Assistant |
363A00000X |
Addresses
Primary practice location
1000 Vermillion St
Athens, WV 24712-9027
Mailing address
PO Box 1000
Athens, WV 24712-1000
Phone (304) 384-5608
Other providers in Athens, WV
- Brent Alexander Roark
- John Charles Roberts Jr.
- Imani T Rodgers
- Jennifer Lauren Sicinski
- Jamari Smith
- Sarah Steele
- Kaitlyn Stewart
- Maizy Talbert
- Jessica Ann Thompson
- West Virginia CVS Pharmacy LLC
All providers in Athens, WV · Student Health Clinic/Center in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.