COLLEGE OF WILLIAM & MARY


Address: 1 Gooch Dr, Williamsburg, VA 23185
Phone: 7572212190

COLLEGE OF WILLIAM & MARY (NPI# 1023303757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023303757
Entity Type Organization
Organization Name COLLEGE OF WILLIAM & MARY
Other Organization Name STUDENT HEATH SERVICE PHARMACY
Practice Address 1 Gooch Dr
Williamsburg
VA 23185
Practice Telephone 7572212190
Practice Fax Number 7572211245
Mailing Telephone 7572212190
Mailing Fax Number 7572211245
Enumeration Date 2011-06-10
Last Update Date 2011-06-10
Authorized Official Name MAUREEN BOUNDS (PHARMACIST IN CHARGE)
Authorized Official Telephone 7572212190
Authorized Official Credential PHARM.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
0201001314 VA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Student Heath Service Pharmacy Doing Business As Name - Organization

Office Location

Street Address 1 GOOCH DR
City WILLIAMSBURG
State VA
Zip Code 23185

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NPI Name Taxonomy Address Enumeration
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1265939482 Michelle Antionette Hill Counselor 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 2018-04-13
1114437480 Kimberly Anne Allan Orthotic Fitter 1811 Jamestown Rd., Williamsburg, VA 23185 2017-10-02
1881115590 Shawn Patrick Mcnulty Counselor Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 2017-07-03
1790215986 Sea Change Therapy Pllc Community/Behavioral Health 3308 Ash Vw, Williamsburg, VA 23185 2017-06-19
1316479322 Maureen Bounds Pharmacist 230 Gooch Dr, Williamsburg, VA 23185 2017-03-29
1386196970 Joshua Desilva Psychologist 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 2016-10-29
1750837001 Ellen Lerose Pharmacist 5601-b Richmond Road, Williamsburg, VA 23185 2016-08-28
1194173922 Michael C. Shuck, Dds PC Dentist 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 2016-06-02
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Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

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Competitor

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City WILLIAMSBURG
Zip Code 23185

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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