Organization
NORTH CAROLINA A&T STATE UNIVERSITY
Active
Organization
NORTH CAROLINA A&T STATE UNIVERSITY
Active
Other names
Student Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BETTYE YOUNG-STEWART (HEALTH CENTER DIRECTOR)
(336) 334-7880
Entity
Organization
Contact information
Practice address
112 N BENBOW RD, GREENSBORO, NC 27411-0002
(336) 334-7880
(336) 334-7154
Mailing address
112 N BENBOW RD, GREENSBORO, NC 27411-0002
(336) 334-7880
(336) 334-7154
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
00549
NC
261QH0100X
Health Service Clinic/Center
Primary
24834
NC
261QH0100X
Health Service Clinic/Center
9501417
NC
261QH0100X
Health Service Clinic/Center
9900552
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028UW
BCBSNC STUDEN BLUE
NC
Enumeration date
08/19/2014
Last updated
08/19/2014
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