Wellness Ctr. Student Blue

LBN: Winston-Salem State University
Wellness Ctr. Student Blue is an health care organization with primary practice located at 601 S Martin Luther King Jr Dr A.H. Ray Bldg Rm. 244, Winston Salem NC 27110-0001. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Student Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Student Health is the primary health care specialty. Winston-Salem State University can be contacted via phone (336) 750-3301, or through Philadelphia, Anthony via phone (336) 750-3274.

Contact Information

Primary practice address
601 S Martin Luther King Jr Dr A.H. Ray Bldg Rm. 244 Winston Salem NC 27110-0001
Fax: (336) 750-3303
Website:
Authorized official contact:
Name: Philadelphia, Anthony PHD.

Profile Details

NPI number 1851713374
LBN Legal business name Winston-Salem State University
DBA Doing business as Wellness Ctr. Student Blue
Authorized official Philadelphia, Anthony PHD.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2014
Last updated Jan 17th, 2014 - about 11 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 1851713374 NPPES
North Carolina MEDICAID 7000169

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