NPIMap

Organization Active NPI

Southwestern University

  • Student Health Clinic/Center
  • Georgetown, TX
National Provider Identifier
1699014779
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
SOUTHWESTERN UNIVERSITY
Practice address
1001 E University Ave
Prothro Center, Suite 200
Georgetown, TX 78626-6100
Phone
(512) 863-1252
Fax
(512) 863-1814
NPI assigned
Feb 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Richard Anderson
Title
VP for Fiscal Affairs
Phone
(512) 863-1475

Specialties & licenses 1

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

Addresses

Primary practice location

1001 E University Ave
Prothro Center, Suite 200
Georgetown, TX 78626-6100

Mailing address

1001 E University Ave
Prothro Center, Suite 200
Georgetown, TX 78626-6100
Phone (512) 863-1252

Other names 1

  • Southwestern University Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southwestern 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.

Locations

1001 E University Ave
#200
Georgetown, TX 78626

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1699014779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E UNIVERSITY AVE",
            "address_2": "PROTHRO CENTER, SUITE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266100",
            "telephone_number": "512-863-1252",
            "fax_number": "512-863-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E UNIVERSITY AVE",
            "address_2": "PROTHRO CENTER, SUITE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266100",
            "telephone_number": "512-863-1252",
            "fax_number": "512-863-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP FOR FISCAL AFFAIRS",
        "authorized_official_telephone_number": "512-863-1475"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwestern University Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.