# UNIVERSITY OF WEST ALABAMA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UWA Athletics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184978603
- **Authorized official:** T. RAIFORD NOLAND (VICE PRESIDENT/FINANCE)
- **Authorized official phone:** (205) 652-3536

## Contact information

- **Practice address:** 100 U.S. 11, STATION 14 UWA, ROOM 216, LIVINGSTON, AL 35470
- **Practice address phone:** (205) 652-3714
- **Practice address fax:** (205) 652-3799
- **Mailing address:** 100 U.S. 11, STATION 14 UWA, ROOM 216, LIVINGSTON, AL 35470
- **Mailing address phone:** (205) 652-3714
- **Mailing address fax:** (205) 652-3799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2012
- **Last updated:** 11/06/2012