NPIMap

Organization Active NPI

North Carolina Central University

Doing business as NCCU Student Health Services

  • Student Health Clinic/Center
  • Durham, NC
National Provider Identifier
1336462514
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
NORTH CAROLINA CENTRAL UNIVERSITY
Doing business as
NCCU Student Health Services
Practice address
200 Cafeteria Drive
Student Health Building
Durham, NC 27707-0020
Phone
(919) 530-6317
Fax
(919) 530-7969
NPI assigned
Mar 2, 2010
Last updated
Feb 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH CAROLINA CENTRAL UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Mrs. Ieschecia Nytonya Graham Allen, M.S., RHIT
Title
Executive Director
Phone
(919) 530-7908

Specialties & licenses 1

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

Addresses

Primary practice location

200 Cafeteria Drive
Student Health Building
Durham, NC 27707-0020

Mailing address

P.O. Box 19491
Student Health Building
Durham, NC 27707-0020
Phone (919) 530-6317

Other identifiers 1

IdentifierTypeStateIssuer
AIH0085120OtherNCPEARCE AND PEARCE

Other names 1

  • NCCU Student Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Carolina Cntrl Univ5 organizations share this tax ID, including this one
Part of
North Carolina Cntrl Univ

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": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1336462514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 19491",
            "address_2": "STUDENT HEALTH BUILDING",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277070020",
            "telephone_number": "919-530-6317",
            "fax_number": "919-530-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CAFETERIA DRIVE",
            "address_2": "STUDENT HEALTH BUILDING",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277070020",
            "telephone_number": "919-530-6317",
            "fax_number": "919-530-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA CENTRAL UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH CAROLINA CENTRAL UNIVERSITY",
        "enumeration_date": "2010-03-02",
        "last_updated": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "GRAHAM ALLEN",
        "authorized_official_first_name": "IESCHECIA",
        "authorized_official_middle_name": "NYTONYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-530-7908",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., RHIT"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEARCE AND PEARCE",
            "identifier": "AIH0085120",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCCU Student Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.