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Organization
WINGATE COLLEGE, INC
Active
Organization
WINGATE COLLEGE, INC
Active
Other names
Wingate University Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E. TAYLOR (PRESIDENT OF WINGATE UNIVERSITY)
(704) 233-8218
Entity
Organization
Contact information
Practice address
211A E WILSON ST, WINGATE, NC 28174-9664
(704) 233-8102
(704) 233-8104
Mailing address
PO BOX 159, WINGATE, NC 28174-0159
(704) 233-8102
(704) 233-8104
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
9801127
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108057
UNITED HEALTHCARE
NC
01
—
1166J
BCBS
NC
01
—
279087
MAMSI
NC
01
—
469196
OTHER
NC
01
—
5080713
AETNA
NC
05
—
891166J
—
NC
Enumeration date
09/25/2009
Last updated
09/25/2009
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