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NORTH CAROLINA CENTRAL UNIVERSITY NPI 1508237850


NPI Information

NPI: 1508237850
Provider Name: NORTH CAROLINA CENTRAL UNIVERSITY

Doing Business As: NCCU SPORTS MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D2221528

Address:
1801 FAYETTEVILLE ST
DURHAM, NC
ZIP 27707
Phone: (919) 530-6215
Get Directions

NORTH CAROLINA CENTRAL UNIVERSITY is a family medicine in Durham, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTH CAROLINA CENTRAL UNIVERSITY NPI is 1508237850. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nccu Sports Medicine.

The provider's business location address is:

1801 FAYETTEVILLE ST
DURHAM, NC
ZIP 27707-129
Phone: (919) 530-6215
Fax: (972) 367-3451

The provider's authorized official is Mouzon Bass .
The authorized official title is Agent and has the following contact phone number (972) 367-4845.

The CLIA number assigned to this NPI record is 34D2221528 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2015 and was last updated on 10/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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