Healthcare Provider Details

I. General information

NPI: 1720256316
Provider Name (Legal Business Name): WINTHROP UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2008
Last Update Date: 09/06/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 OAKLAND AVE. HEALTH SERVICES
ROCK HILL SC
29733
US

IV. Provider business mailing address

701 OAKLAND AVE. HEALTH SERVICES
ROCK HILL SC
29733
US

V. Phone/Fax

Practice location:
  • Phone: 803-323-2206
  • Fax: 803-323-3332
Mailing address:
  • Phone: 803-323-2206
  • Fax: 803-323-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN HUGHES
Title or Position: NURSE MANAGER
Credential: APRN
Phone: 803-323-2206