# NORTH CAROLINA STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Student Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689951022
- **Authorized official:** MR. ROBERT HAYFORD (INTERIM DIRECTOR)
- **Authorized official phone:** (919) 513-3267

## Contact information

- **Practice address:** 2815 CATES AVE, CB 7304, RALEIGH, NC 27695-0001
- **Practice address phone:** (919) 513-3267
- **Practice address fax:** (919) 513-1994
- **Mailing address:** 2815 CATES AVE, CB 7304, RALEIGH, NC 27695-0001
- **Mailing address phone:** (919) 513-3267
- **Mailing address fax:** (919) 513-1994

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2011
- **Last updated:** 11/14/2011