WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE – NPI #1053452953
Clinic/Center

WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE is an AHC clinic located in WINSTON-SALEM, NC. NPPES has assigned the NPI number 1053452953 to WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE on February 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

The NPI profile was previously updated about 15 years ago on Jan 19, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE below.

NPI Profile for
WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE

NPI Number
1053452953
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE
Primary location
1834 REYNOLDA ROAD
MACKIE HEALTH CENTER - REYNOLDS GYM - WINGATE RD. WFU
WINSTON-SALEM, NC 27106
Phone: (336) 758-5218 Fax: (336) 758-6054
Mailing address
PO BOX 7386
WINSTON SALEM, NC 27109-7386
Phone: (336) 758-5218 Fax: (336) 758-6054
Organization Subpart
No
Authorized Official
CECIL PRICE
DIRECTOR
Phone: (336) 758-5218
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.