NPIMap

Organization Active NPI

Eastern Mennonite University

  • Student Health Clinic/Center
  • Harrisonburg, VA
National Provider Identifier
1518219666
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
0101031417 Issued in VA
Legal business name
EASTERN MENNONITE UNIVERSITY
Practice address
1200 Park Rd
Harrisonburg, VA 22802-2404
Phone
(540) 432-4000
Fax
(540) 432-4600
NPI assigned
Oct 12, 2012
Last updated
Oct 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Mr. Daryl W Bert
Title
Vice President for Finance
Phone
(540) 432-4107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 0101031417 VA Primary

Addresses

Primary practice location

1200 Park Rd
Harrisonburg, VA 22802-2404

Mailing address

1200 Park Rd
Harrisonburg, VA 22802-2404
Phone (540) 432-4000

National Provider Directory

National Provider Directory
Tax ID family
Eastern Mennonite University2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

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": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1518219666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PARK RD",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228022404",
            "telephone_number": "540-432-4000",
            "fax_number": "540-432-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PARK RD",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228022404",
            "telephone_number": "540-432-4000",
            "fax_number": "540-432-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MENNONITE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "BERT",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR FINANCE",
        "authorized_official_telephone_number": "540-432-4107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "VA",
            "license": "0101031417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.