NPIMap

Organization Active NPI

Arkansas State University Student Health Center

  • Student Health Clinic/Center
  • Jonesboro, AR
National Provider Identifier
1487071478
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
261QS1000X Issued in AR
Legal business name
ARKANSAS STATE UNIVERSITY STUDENT HEALTH CENTER
Practice address
333 Stadium Blvd B
Jonesboro, AR 72401
Phone
(870) 972-2054
Fax
(870) 972-2131
NPI assigned
Mar 27, 2014
Last updated
Mar 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Victoria Williams
Title
Director, Aprn
Phone
(870) 972-2054

Specialties & licenses 1

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

Addresses

Primary practice location

333 Stadium Blvd B
Jonesboro, AR 72401

Mailing address

P.O. Box 1380
State University, AR 72467
Phone (870) 972-2054

National Provider Directory

National Provider Directory
Tax ID family
Arkansas State University Athletic Training2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1487071478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1380",
            "city": "STATE UNIVERSITY",
            "state": "AR",
            "postal_code": "72467",
            "telephone_number": "870-972-2054",
            "fax_number": "870-972-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 STADIUM BLVD B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-972-2054",
            "fax_number": "870-972-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS STATE UNIVERSITY STUDENT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR, APRN",
        "authorized_official_telephone_number": "870-972-2054"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "AR",
            "license": "261QS1000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.