STUDENT HEALTH CENTER (NPI# 1639290893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639290893 |
| Entity Type | Organization |
| Organization Name | STUDENT HEALTH CENTER |
| Practice Address |
One Gooch Drive Williamsburg VA 23187-8795 |
| Mailing Address |
1 Gooch Dr. Williamsburg VA 23187-8795 |
| Practice Telephone | 7572214386 |
| Practice Fax Number | 7572211245 |
| Mailing Telephone | 7572214386 |
| Mailing Fax Number | 7572211245 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | MRS. KAREN JAWAN BROWN (HEAD NURSE) |
| Authorized Official Telephone | 7572214386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
0101023275 | VA | Ambulatory Health Care Facilities |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
0101023274 | VA | Ambulatory Health Care Facilities |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
0110002232 | VA | Ambulatory Health Care Facilities |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
0001070729 | VA | Ambulatory Health Care Facilities |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
0024164693 | VA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437228483 | Student Health Center | Clinic/Center | 5044n Barton Ave, Fresno, CA 93740 | 2006-11-06 |
| 1710180989 | Student Health Center | Clinic/Center | 501 Student Health, Irvine, CA 92697-5200 | 2007-06-06 |
| Street Address |
ONE GOOCH DRIVE |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23187-8795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336363050 | June Strickland Henderson | Legal Medicine | One Gooch Drive, Williamsburg, VA 23187-8795 | 2007-04-12 |
| 1851514806 | Nancy-lu Friese Moul | Nurse Practitioner | One Gooch Drive, Williamsburg, VA 23187 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588993455 | Tracey Eisen | Specialist/Technologist | 751 Ukrop Dr, Williamsburg, VA 23187 | 2009-12-23 |
| 1134246549 | Christine Ferguson | Counselor | Richmond Rd, Blow Hall 240, Williamsburg, VA 23187 | 2007-03-23 |
| 1316061096 | Carina Sudarsky-gleiser | Psychologist | 240 Blow Hall, Williamsburg, VA 23187 | 2007-03-19 |
| 1891743340 | Tyson James Burton | Specialist/Technologist | 1 Campus Drive, Williams & Mary Hall, Williamsburg, VA 23187 | 2006-05-05 |
| 1619932969 | Lisa Nichole Wilkins | Specialist/Technologist | 751 Ukrop Way, The College of William and Mary, Williamsburg, VA 23187 | 2006-04-19 |
| 1528041456 | Mukesh Manubhai Patel | Psychiatry & Neurology | Eastern State Hospital, 4601 Ironbound Rd, Williamsburg, VA 23187 | 2005-11-23 |
| 1003817735 | Nicholas Francis Caputo | Pharmacy Technician | 4601 Ironbound Road, Eastern State Hospital, Williamsburg, VA 23187 | 2005-08-03 |
| 1780071936 | Shawn Elizabeth Lucci | Specialist/Technologist | 751 Ukrop Way, Williamsburg, VA 23187 | 2015-04-24 |
| 1104802552 | Martha Etta Saunders | Pharmacy Technician | 4601 Ironbound Road, Eastern State Hospital, Williamsburg, VA 23187 | 2005-12-19 |
| 1235516295 | Racquel Cabrera | Specialist/Technologist | 751 Ukrop Way, College of William & Mary, Williamsburg, VA 23187-0399 | 2015-04-29 |
| Find all providers in zip 23187 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205120573 | Williamsburg Psychiatry and Counseling Services LLC | Clinic/Center | 1101 Professional Dr, Suite C, Williamsburg, VA 23185-3301 | 2011-06-04 |
| 1730336975 | Rl Nutrition Services | Clinic/Center | 475 N Highway 25 W, Suite 101, Williamsburg, KY 40769-1576 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437167 | Asoufy Therapy Services, Pllc | Clinic/Center | 916 Saint Andrews Reach Apt A, Chesapeake, VA 23320-8587 | 2020-11-05 |
| 1710594932 | Healthy Advocate | Clinic/Center | 5904 Carrington Green Ct, Glen Allen, VA 23060-3439 | 2020-09-30 |
| 1518573864 | Yi's Acupuncture Clinic,inc. | Clinic/Center | 4216 Evergreen Ln Ste 112, Annandale, VA 22003-3253 | 2020-09-22 |
| 1770191660 | Treasure Health Inc | Clinic/Center | 6000 Stevenson Ave Ste F, Alexandria, VA 22304-3563 | 2020-07-17 |
| 1003443359 | Henry A Mccleary Dc LLC | Clinic/Center | 2239c Tacketts Mill Dr, Woodbridge, VA 22192-3026 | 2020-03-26 |
| 1962044420 | Alice Tseng Od Optometrist Pllc | Clinic/Center | 6211 Leesburg Pike, Falls Church, VA 22044-2107 | 2019-10-16 |
| 1164080057 | Hao Health and Healing LLC | Clinic/Center | 12011 Lee Jackson Memorial Hwy Ste 320, Fairfax, VA 22033-3310 | 2019-06-05 |
| 1245897941 | Metropolitan Medical | Clinic/Center | 3046 Valley Ave Ste 100, Winchester, VA 22601-2679 | 2019-05-29 |
| 1942768692 | Medsquare LLC | Clinic/Center | 8575a Sudley Rd, Manassas, VA 20110-3811 | 2019-03-12 |
| 1770055410 | Caring Hearts Free Clinic of Patrick County | Clinic/Center | 835 Woodland Dr Ste 101, Stuart, VA 24171-1586 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23187 |
Please comment or provide details below to improve the information on STUDENT HEALTH CENTER.
| 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.