# EASTERN MENNONITE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518219666
- **Authorized official:** MR. DARYL W BERT (VICE PRESIDENT FOR FINANCE)
- **Authorized official phone:** (540) 432-4107

## Contact information

- **Practice address:** 1200 PARK RD, HARRISONBURG, VA 22802-2404
- **Practice address phone:** (540) 432-4000
- **Practice address fax:** (540) 432-4600
- **Mailing address:** 1200 PARK RD, HARRISONBURG, VA 22802-2404
- **Mailing address phone:** (540) 432-4000
- **Mailing address fax:** (540) 432-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | 0101031417 | VA | Yes |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 10/12/2012