WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE (NPI# 1053452953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053452953 |
| Entity Type | Organization |
| Organization Name | WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE |
| Practice Address |
1834 Reynolda Road Mackie Health Center - Reynolds Gym - Wingate Rd. Wfu Winston-salem NC 27106 |
| Mailing Address |
Po Box 7386 Winston Salem NC 27109-7386 |
| Practice Telephone | 3367585218 |
| Practice Fax Number | 3367586054 |
| Mailing Telephone | 3367585218 |
| Mailing Fax Number | 3367586054 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-01-19 |
| Authorized Official Name | DR. CECIL DWIGHT PRICE (DIRECTOR) |
| Authorized Official Telephone | 3367585218 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Street Address |
1834 REYNOLDA ROAD MACKIE HEALTH CENTER - REYNOLDS GYM - WINGATE RD. WFU |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450887 | Brocker Health Center/ Unc Charlotte | Clinic/Center | 9201 University City Blvd Student Health Center, Charlotte, NC 28223-0001 | 2020-09-02 |
| 1700439023 | Fayetteville State University | Clinic/Center | 1200 Murchison Road, Fayetteville State University The, Fayetteville, NC 28301-4252 | 2019-07-17 |
| 1497132963 | Wingate University | Clinic/Center | 109 N. Camden Rd, Wingate, NC 28174 | 2015-05-04 |
| 1144649948 | Winston-salem State University | Clinic/Center | 1250 S Mlk Jr Dr, Winston Salem, NC 27107-1370 | 2014-04-09 |
| 1538394358 | The University of North Carolina At Asheville | Clinic/Center | One University Heights, Weizenblatt Building, Asheville, NC 28804-8514 | 2009-05-22 |
| 1407038615 | The James A Taylor Student Health Services Sports Medicine Department | Clinic/Center | The James A Taylor Student Health Services Cb# 7470, The University of North Carolina At Chapel Hill, Chapel Hill, NC 27599-7470 | 2007-11-29 |
| 1083807325 | Adolescent Care Center | Clinic/Center | 88 Us Highway 158 W, Gatesville, NC 27938-9438 | 2007-08-21 |
| 1578764312 | Hope Physicians | Clinic/Center | 2502 N Herritage Street, Suite A, Kinston, NC 28501-3567 | 2007-05-30 |
| 1033321005 | Anna Gove Student Health Services | Clinic/Center | 107 Gray Dr., Greensboro, NC 27402 | 2007-05-04 |
| 1073733390 | Davidson College Student Health Service | Clinic/Center | 514 N. Main St, Davidson, NC 28036 | 2007-04-27 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON-SALEM |
| Zip Code | 27106 |
Please comment or provide details below to improve the information on WAKE FOREST UNIVERSITY STUDENT HEALTH SERVICE.
| 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.