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NPI Code Detail

MEDICARE: APPALACHIAN STATE UNIVERSITY STUDENT HEALTH SERVICES

MEDICARE: APPALACHIAN STATE UNIVERSITY STUDENT HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS1000XStudent Health Clinic/Center0200553NC

General Provider Information

NPI Number : 1376522821
Entity Type Code : Organization
Provider Name (Legal Business Name) : APPALACHIAN STATE UNIVERSITY STUDENT HEALTH SERVICES
Provider Business Mailing Address
First Line : PO BOX 32070
Second Line :
City : BOONE
State : NC
Zip : 28608-2070
Country : US
Telephone Number : 828-262-3100
Fax Number : 828-262-6262
Provider Business Practice Location Address
First Line : 614 HOWARD STREET
Second Line : BOX 32070
City : BOONE
State : NC
Zip : 28608-0001
Country : US
Telephone Number : 828-262-3100
Fax Number : 828-262-6262
Authorized Official
Title or Position : DIRECTOR
Name : PATRICIA A. GEIGER
Credential : M.D
Telephone Number : 828-262-3100
Provider Enumeration Date : 01/12/2006
Last Update Date : 08/22/2020

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Directions to “APPALACHIAN STATE UNIVERSITY STUDENT HEALTH SERVICES ” Practice Location

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