WINSTON-SALEM STATE UNIVERSITY; NPI #1851713374

Contact Information

WINSTON-SALEM STATE UNIVERSITY

601 S MARTIN LUTHER KING JR DR
A.H. RAY BLDG RM. 244
WINSTON-SALEM, NC 27110-0001

Phone: 336-750-3301
Fax: 336-750-3303
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Student Health	261QS1000X
Family	363LF0000X	50	Nurse Practitioner
Family Medicine	207Q00000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for WINSTON-SALEM STATE UNIVERSITY

NPI # 1851713374

LBN Legal business name WINSTON-SALEM STATE UNIVERSITY

Authorized official ANTHONY PHILADELPHIA - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/17/2014

Last updated 01/17/2014 - About 12 years ago

Identifiers

Medicaid

7000169

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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WINSTON-SALEM STATE UNIVERSITY

Contact Information

Specialty

Student Health

Family

Family Medicine

NPI Profile & details for WINSTON-SALEM STATE UNIVERSITY

Reviews for WINSTON-SALEM STATE UNIVERSITY