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Contact Information

WINSTON SALEM STATE UNIVERSITY, A. H. RAY STUDENT HEALTH SERVICE
601 S MARTIN LUTHER KING JR DR
RM 244, A. H. RAY BUILDING
WINSTON-SALEM, NC27110-0001
 Phone: 336-750-3300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student Health

261QS1000X
Indicates primary specialty

NPI Profile & details for WINSTON SALEM STATE UNIVERSITY, A. H. RAY STUDENT HEALTH SERVICE

NPI Number 1376716811
LBN Legal business name WINSTON SALEM STATE UNIVERSITY, A. H. RAY STUDENT HEALTH SERVICE
Authorized official MELODY PIERCE - (VICE CHANCELLOR STUDENT AFFAIRS)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2008
Last updated 06/19/2008 - About 18 years ago
Identifiers
NC License # NC AW 5031 924
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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