# UNIVERSITY OF NORTH CAROLINA

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

## Provider details

- **NPI number:** 1891882049
- **Authorized official:** MR. DEAN H CROWELL ATC, LAT (CERTIFIED ATHLETIC TRAINER)
- **Authorized official phone:** (919) 962-8519

## Contact information

- **Practice address:** 101 MANNING DR, CAMPUS HEALTH SERVICE, CHAPEL HILL, NC 27514-4220
- **Practice address phone:** (919) 966-6548
- **Mailing address:** 710 SPRING MEADOW DR, DURHAM, NC 27713-7196
- **Mailing address phone:** (919) 966-6548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | 0307 | NC | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0307 | STATE LICENSURE | NC |