Healthcare Provider Details

I. General information

NPI: 1407026628
Provider Name (Legal Business Name): WESTERN CAROLINA UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WESTERN CAROLINA UNIVERSITY HWY 107 ATTN: BIRD BUILDING
CULLOWHEE NC
28723
US

IV. Provider business mailing address

WESTERN CAROLINA UNIVERSITY HWY 107 ATTN: BIRD BUILDING
CULLOWHEE NC
28723
US

V. Phone/Fax

Practice location:
  • Phone: 828-227-7640
  • Fax: 828-227-7400
Mailing address:
  • Phone: 828-227-7640
  • Fax: 828-227-7400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number29251
License Number StateNC

VIII. Authorized Official

Name: MRS. PAMELA M BUCHANAN
Title or Position: HEALTH CENTER DIRECTOR
Credential:
Phone: 828-227-7640