NPIMap

Organization Active NPI

North Carolina a&T State University

  • Health Service Clinic/Center
  • Greensboro, NC
National Provider Identifier
1720120637
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NORTH CAROLINA A&T STATE UNIVERSITY
Practice address
112 N. Benbow Road
Greensboro, NC 27411
Phone
(336) 334-7880
Fax
(336) 256-2613
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Mrs. Bettye Young-Stewart
Title
Interim Student Health Center Direc
Phone
(336) 334-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

112 N. Benbow Road
Greensboro, NC 27411

Mailing address

1601 E Market Street
Greensboro, NC 27411
Phone (336) 334-7880

National Provider Directory

National Provider Directory
Tax ID family
North Carolina at State University5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1601 E Market St
#112N
Greensboro, NC 27411

1601 E Market St
Greensboro, NC 27411
Phone (336) 334-7880

Practitioners & affiliated clinicians

Practitioners 5

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1720120637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E MARKET STREET",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27411",
            "telephone_number": "336-334-7880",
            "fax_number": "336-256-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N. BENBOW ROAD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27411",
            "telephone_number": "336-334-7880",
            "fax_number": "336-256-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA A&T STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "YOUNG-STEWART",
        "authorized_official_first_name": "BETTYE",
        "authorized_official_title_or_position": "INTERIM STUDENT HEALTH CENTER DIREC",
        "authorized_official_telephone_number": "336-334-7880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.