Organization
NORTH CAROLINA CENTRAL UNIVERSITY
Active
Parent organization
NORTH CAROLINA CENTRAL UNIVERSITY
Other names
NCCU Student Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH CAROLINA CENTRAL UNIVERSITY
Authorized official
MRS. IESCHECIA NYTONYA GRAHAM ALLEN M.S., RHIT (EXECUTIVE DIRECTOR)
(919) 530-7908
Entity
Organization
Contact information
Practice address
200 CAFETERIA DRIVE, STUDENT HEALTH BUILDING, DURHAM, NC 27707-0020
(919) 530-6317
(919) 530-7969
Mailing address
P.O. BOX 19491, STUDENT HEALTH BUILDING, DURHAM, NC 27707-0020
(919) 530-6317
(919) 530-7969
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AIH0085120
PEARCE AND PEARCE
NC
Enumeration date
03/02/2010
Last updated
02/13/2025
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