# APPALACHIAN STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mary S. Shook Student Health Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891815908
- **Authorized official:** MR. MATTHEW C DULL (ASSISTANT VICE CHANCELLOR FOR FINAN)
- **Authorized official phone:** (828) 262-2060

## Contact information

- **Practice address:** 614 HOWARD STREET, STUDENT HEALTH SERVICE, BOONE, NC 28608-2070
- **Practice address phone:** (828) 262-3100
- **Practice address fax:** (828) 262-6958
- **Mailing address:** PO BOX 32070, HEALTH SERVICE, BOONE, NC 28608-2070
- **Mailing address phone:** (828) 262-3100
- **Mailing address fax:** (828) 262-6262

## Taxonomy

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

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 09/01/2023