FAYETTEVILLE STATE UNIVERSITY; NPI #1700439023

Contact Information

FAYETTEVILLE STATE UNIVERSITY

1200 MURCHISON ROAD
STUDENT HEALTH SERVICES
FAYETTEVILLE, NC 28301-4252

Phone: 910-672-2602
Fax: 910-672-1366
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for FAYETTEVILLE STATE UNIVERSITY

NPI #	`1700439023`
LBN Legal business name	FAYETTEVILLE STATE UNIVERSITY
Authorized official	IESCHECIA GRAHAM ALLEN - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/17/2019
Last updated	11/24/2023 - About 3 years ago
Identifiers	n/a

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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