# NORTH CAROLINA CENTRAL UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NCCU STUDENT HEALTH SERVICES, North Carolina Central University
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437580107
- **Authorized official:** TYRONE LITTLE (INSURANCE COORDINATOR)
- **Authorized official phone:** (919) 530-5485

## Contact information

- **Practice address:** 200 CAFETERIA DRIVE, DURHAM, NC 27707
- **Practice address phone:** (919) 530-6317
- **Practice address fax:** (919) 530-7969
- **Mailing address:** 1801 FAYETTEVILLE STREET, STUDENT HEALTH BUILDING, DURHAM, NC 27707
- **Mailing address phone:** (919) 530-7336
- **Mailing address fax:** (919) 530-7969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QS1000X | Student Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/06/2013
- **Last updated:** 07/05/2024