NPIMap

Organization Active NPI

Purdue University

Doing business as Purdue University Student Health Center

  • Student Health Clinic/Center
  • West Lafayette, IN
National Provider Identifier
1346239696
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
PURDUE UNIVERSITY
Doing business as
Purdue University Student Health Center
Practice address
601 Stadium Mall Dr
West Lafayette, IN 47907-2052
Phone
(765) 494-1700
Fax
(765) 496-1227
NPI assigned
Oct 19, 2005
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PURDUE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Ms. Joan M Vaughan
Title
Director Hipaa Privacy Compliance
Phone
(765) 496-1927

Specialties & licenses 1

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

Addresses

Primary practice location

601 Stadium Mall Dr
West Lafayette, IN 47907-2052

Mailing address

601 Stadium Mall Dr
West Lafayette, IN 47907-2052
Phone (765) 494-1700

Other names 1

  • Purdue University Student Health Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0701130Purdue University Student Health601 Stadium Mall Dr, West Lafayette, IN 47907Provider-performed microscopyOct 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Purdue University Student19 organizations share this tax ID, including this one
Part of
Purdue University Student

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

355 N Martin Jischke Dr
West Lafayette, IN 47907
Phone (765) 494-1839

601 Stadium Mall Dr
Ste 2
West Lafayette, IN 47907

900 N John R Wooden Dr
West Lafayette, IN 47907
Phone (765) 494-3245

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1346239696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 STADIUM MALL DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072052",
            "telephone_number": "765-494-1700",
            "fax_number": "765-496-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STADIUM MALL DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072052",
            "telephone_number": "765-494-1700",
            "fax_number": "765-496-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURDUE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PURDUE UNIVERSITY",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR HIPAA PRIVACY COMPLIANCE",
        "authorized_official_telephone_number": "765-496-1927",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purdue University Student Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.