NPIMap

Organization Active NPI

North Carolina State University

Doing business as Student Health Services

  • Student Health Clinic/Center
  • Raleigh, NC
National Provider Identifier
1689951022
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
NORTH CAROLINA STATE UNIVERSITY
Doing business as
Student Health Services
Practice address
2815 Cates Ave
CB 7304
Raleigh, NC 27695-0001
Phone
(919) 513-3267
Fax
(919) 513-1994
NPI assigned
Nov 14, 2011
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Mr. Robert Hayford
Title
Interim Director
Phone
(919) 513-3267

Specialties & licenses 1

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

Addresses

Primary practice location

2815 Cates Ave
CB 7304
Raleigh, NC 27695-0001

Mailing address

2815 Cates Ave
CB 7304
Raleigh, NC 27695-0001
Phone (919) 513-3267

Other names 1

  • Student Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
NC State University Student Health4 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.

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1689951022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 CATES AVE",
            "address_2": "CB 7304",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276950001",
            "telephone_number": "919-513-3267",
            "fax_number": "919-513-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 CATES AVE",
            "address_2": "CB 7304",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276950001",
            "telephone_number": "919-513-3267",
            "fax_number": "919-513-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "HAYFORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "INTERIM DIRECTOR",
        "authorized_official_telephone_number": "919-513-3267",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.