# WINGATE COLLEGE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wingate University Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205160165
- **Authorized official:** MR. CHARLES E. TAYLOR (PRESIDENT OF WINGATE UNIVERSITY)
- **Authorized official phone:** (704) 233-8218

## Contact information

- **Practice address:** 211A E WILSON ST, WINGATE, NC 28174-9664
- **Practice address phone:** (704) 233-8102
- **Practice address fax:** (704) 233-8104
- **Mailing address:** PO BOX 159, WINGATE, NC 28174-0159
- **Mailing address phone:** (704) 233-8102
- **Mailing address fax:** (704) 233-8104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | 9801127 | NC | Yes |

## Other

- **Enumeration date:** 09/25/2009
- **Last updated:** 09/25/2009

## 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 |