Southern University Student Health Center

LBN: Southern University Student Health Center
Southern University Student Health Center is an health care organization with primary practice located at 170 Swan St , Baton Rouge LA 70813-0001. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Southern University Student Health Center can be contacted via phone (225) 771-3324, or through Fields, Terricka V via phone (225) 771-4770.

Contact Information

Primary practice address
170 Swan St Baton Rouge LA 70813-0001
Phone: (225) 771-3324
Fax: (225) 771-2349
Website:
Map and Directions
Authorized official contact:
Name: Fields, Terricka V
Phone: (225) 771-4770

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Louisiana

Profile Details

NPI number 1124174545
LBN Legal business name Southern University Student Health Center
DBA Doing business as
Authorized official Fields, Terricka V
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Aug 12th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124174545 NPPES
Louisiana MEDICAID 1416886
Louisiana MEDICAID 1529338

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