NPIMap

Organization Active NPI

Appalachian State University

  • Student Health Clinic/Center
  • Boone, NC
National Provider Identifier
1891815908
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
APPALACHIAN STATE UNIVERSITY
Practice address
614 Howard Street
Student Health Service
Boone, NC 28608-2070
Phone
(828) 262-3100
Fax
(828) 262-6958
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Mr. Matthew C Dull
Title
Assistant Vice Chancellor for Finan
Phone
(828) 262-2060

Specialties & licenses 1

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

Addresses

Primary practice location

614 Howard Street
Student Health Service
Boone, NC 28608-2070

Mailing address

PO Box 32070
Health Service
Boone, NC 28608-2070
Phone (828) 262-3100

Other names 1

  • Mary S. Shook Student Health Service Other name

National Provider Directory

National Provider Directory
Tax ID family
Appalachian State University Student Health Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1891815908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32070",
            "address_2": "HEALTH SERVICE",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286082070",
            "telephone_number": "828-262-3100",
            "fax_number": "828-262-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 HOWARD STREET",
            "address_2": "STUDENT HEALTH SERVICE",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286082070",
            "telephone_number": "828-262-3100",
            "fax_number": "828-262-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "DULL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ASSISTANT VICE CHANCELLOR FOR FINAN",
        "authorized_official_telephone_number": "828-262-2060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary S. Shook Student Health Service",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mary S. Shook Student Health Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.