Organization
WINGATE COLLEGE, INC
Active
Other names
Wingate University Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E. TAYLOR (PRESIDENT OF WINGATE UNIVERSITY)
(704) 233-8218
Entity
Organization
Contact information
Practice address
211A E WILSON ST, WINGATE, NC 28174-9664
(704) 233-8102
(704) 233-8104
Mailing address
PO BOX 159, WINGATE, NC 28174-0159
(704) 233-8102
(704) 233-8104
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
9801127
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108057
UNITED HEALTHCARE
NC
01
—
1166J
BCBS
NC
01
—
279087
MAMSI
NC
01
—
469196
OTHER
NC
01
—
5080713
AETNA
NC
05
—
891166J
—
NC
Enumeration date
09/25/2009
Last updated
09/25/2009
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