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Organization

PURDUE UNIVERSITY

Active
Parent organization
PURDUE UNIVERSITY
Other names
Purdue University Student Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PURDUE UNIVERSITY
Authorized official
MS. JOAN M VAUGHAN (DIRECTOR HIPAA PRIVACY COMPLIANCE)
(765) 496-1927
Entity
Organization

Contact information

Practice address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-1700
(765) 496-1227
Mailing address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-1700
(765) 496-1227

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
10/19/2005
Last updated
07/31/2008
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