NPIMap

Organization Active NPI

Winston Salem State University, a. H. Ray Student Health Service

  • Student Health Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1376716811
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
NC AW 5031 924 Issued in NC
Legal business name
WINSTON SALEM STATE UNIVERSITY, A. H. RAY STUDENT HEALTH SERVICE
Practice address
601 S Martin Luther King Jr Dr
RM 244, a. H. Ray Building
Winston Salem, NC 27110-0001
Phone
(336) 750-3300
NPI assigned
Apr 4, 2008
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Melody C. Pierce, PHD
Title
Vice Chancellor Student Affairs
Phone
(336) 750-3203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NC AW 5031 924 NC Primary

Addresses

Primary practice location

601 S Martin Luther King Jr Dr
RM 244, a. H. Ray Building
Winston Salem, NC 27110-0001

Mailing address

601 S Martin Luther King Jr Dr
RM 244, a. H. Ray Building
Winston Salem, NC 27110-0001
Phone (336) 750-3300

National Provider Directory

National Provider Directory
Tax ID family
Winston-Salem State Unive4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

601 S Martin Luther King Jr Dr
Rm 244
Winston Salem, NC 27110
Phone (336) 750-3300

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1376716811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MARTIN LUTHER KING JR DR",
            "address_2": "RM 244, A. H. RAY BUILDING",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271100001",
            "telephone_number": "336-750-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MARTIN LUTHER KING JR DR",
            "address_2": "RM 244, A. H. RAY BUILDING",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271100001",
            "telephone_number": "336-750-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTON SALEM STATE UNIVERSITY, A. H. RAY STUDENT HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE CHANCELLOR STUDENT AFFAIRS",
        "authorized_official_telephone_number": "336-750-3203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NC",
            "license": "NC AW 5031 924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.