Campbell University Inc

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

CAMPBELL UNIVERSITY INC

Practice address

5050 Spring Valley Rd
Dallas, TX 75244-3995

Phone

(972) 367-4820

Fax

(972) 367-3451

NPI assigned

Nov 20, 2012

Organization subpart

No

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

Authorized official

Name

James O Roberts

Title

VP for Business and Treasurer

Phone

(910) 893-1240

Specialties & licenses 1

Addresses

Other names 1

• Campbell University Athletics Doing business as

Tax ID family

Campbell University3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Campbell University

  • Student Health Clinic/Center
  • Buies Creek, NC
  • NPI 1275596801
  NPD tax ID
• Campbell University Health Center, LLC

  • Clinic Pharmacy
  • Buies Creek, NC
  • NPI 1174876189
  NPD tax ID

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1669716205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 EAKES DRIVE",
            "address_2": "MCLEOD ATHLETIC TRAINING FACILIATY",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "27546",
            "telephone_number": "910-814-5455",
            "fax_number": "910-893-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995",
            "telephone_number": "972-367-4820",
            "fax_number": "972-367-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL UNIVERSITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "VP FOR  BUSINESS AND TREASURER",
        "authorized_official_telephone_number": "910-893-1240"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell University Athletics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauri B Campagna, MD
• Nicholas Campalans
• Shyann Mikaell Campana, M.A.
• Campbell Bourland DDS, PLLC
• Campbell Dental P.a.
• Aleia Campbell, MS, LPC-A, NCC
• Andrew Foil Campbell, M.D.
• April Nicole Campbell, PA-C
• Atraou Campbell
• Avery Campbell

• Student Health Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Student Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.