# APPALACHIAN STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** APPALACHIAN STATE UNIVERSITY
- **Other names:** Mountaineer Medics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720864143
- **Legal business name:** APPALACHIAN STATE UNIVERSITY
- **Authorized official:** MR. JASON MARSHBURN (DIRECTOR OF SAFETY & EMERGENCY MGT)
- **Authorized official phone:** (828) 262-8081

## Contact information

- **Practice address:** 175 LOCUST ST, BOONE, NC 28608-0007
- **Practice address phone:** (828) 262-4008
- **Mailing address:** ASU BOX 32112, BOONE, NC 28608-2112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2023
- **Last updated:** 09/01/2023