# NORTH CAROLINA CENTRAL UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH CAROLINA CENTRAL UNIVERSITY
- **Other names:** NCCU Student Health Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336462514
- **Legal business name:** NORTH CAROLINA CENTRAL UNIVERSITY
- **Authorized official:** MRS. IESCHECIA NYTONYA GRAHAM ALLEN M.S., RHIT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 530-7908

## Contact information

- **Practice address:** 200 CAFETERIA DRIVE, STUDENT HEALTH BUILDING, DURHAM, NC 27707-0020
- **Practice address phone:** (919) 530-6317
- **Practice address fax:** (919) 530-7969
- **Mailing address:** P.O. BOX 19491, STUDENT HEALTH BUILDING, DURHAM, NC 27707-0020
- **Mailing address phone:** (919) 530-6317
- **Mailing address fax:** (919) 530-7969

## Taxonomy

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

## Other

- **Enumeration date:** 03/02/2010
- **Last updated:** 02/13/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AIH0085120 | PEARCE AND PEARCE | NC |