Abilene Christian University

Key facts

NPI

1831591395

Entity type

Organization (NPI type 2)

Primary specialty

Clinic/Center 261Q00000X

License

AT4915 (TX)

Legal business name

ABILENE CHRISTIAN UNIVERSITY

Practice address

845 Coliseum Way
Abilene, TX 79601

Phone

(325) 674-2109

NPI assigned

Sep 16, 2014

Organization subpart

No

Authorized official

Name

Ms. Jenny Scruggs, M.ED., ATC, LAT

Title

Assistant Athletic Trainer

Phone

(325) 674-2109

Practitioners 2

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

• Jennifer Scruggs, M.ED., ATS, LAT Athletic Trainer · Abilene, TX · NPI 1780091108
  NPD (past)
• Adam Ybarra, ATC, LAT Athletic Trainer · Abilene, TX · NPI 1811443633
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 16, 2014.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1831591395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ACU BOX 27916",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 COLISEUM WAY",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79601",
            "telephone_number": "325-674-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILENE CHRISTIAN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "SCRUGGS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "ASSISTANT ATHLETIC TRAINER",
        "authorized_official_telephone_number": "325-674-2109",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., ATC, LAT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "AT4915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

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• Abilene Christian University
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• Abilene Dental Care South PLLC
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• Abilene Emergency Physicians Staffing PA
• Abilene Endocrinology, P.a.
• Abilene Endodontics, PC

All providers in Abilene, TX · Clinic/Center in Texas