MEDICARE: APPALACHIAN STATE UNIVERSITY

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
1	261QS1000X	Student Health Clinic/Center

General Provider Information

NPI Number	:	1891815908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPALACHIAN STATE UNIVERSITY

Provider Business Mailing Address
First Line	:	PO BOX 32070
Second Line	:	HEALTH SERVICE
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	:	STUDENT HEALTH SERVICE
City	:	BOONE
State	:	NC
Zip	:	28608-2070
Country	:	US
Telephone Number	:	828-262-3100
Fax Number	:	828-262-6958

Authorized Official
Title or Position	:	ASSISTANT VICE CHANCELLOR FOR FINAN
Name	:	MR. MATTHEW C DULL
Credential	:
Telephone Number	:	828-262-2060

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	09/01/2023

Similar Medicare Providers

1881155224 — APPALACHIAN STATE UNIVERSITY
Practice Location Address:

614 HOWARD ST
BOONE, NC
28608-2070

Practice Phone: 828-262-3100
Practice Fax: 828-262-6958

1023068624 — MRS. CASSANDRA LYNN STULL MPAS, PA-C
Practice Location Address:

MARY S SHOOK STUDENT HEALTH SERVICES , 614 HOWARD ST PO OFFICE BOX 32070
BOONE, NC
28608-2070

Practice Phone: 828-262-3100
Practice Fax: 828-262-6262

1831228352 — DR. ELIZABETH TORRENCE HINNANT M.D.
Practice Location Address:

148 HWY 105 EXT SUITE 102
BOONE, NC
28608-2070

Practice Phone: 828-386-2222
Practice Fax: 828-386-2223

1851387286 — APPALACHIAN STATE UNIVERSITY
Practice Location Address:

400 UNIVERSITY HALL DRIVE , ROOM 120
BOONE, NC
28608-2041

Practice Phone: 828-262-2185
Practice Fax: 828-262-6766

1043206063 — SUSAN CHRISTMAN SWEETING R.N., F.N.P.
Practice Location Address:

614 HOWARD ST , APPALACHIAN STATE UNIVERSITY BOX 32070
BOONE, NC
28608-5021

Practice Phone: 828-262-3100
Practice Fax: 828-262-6958

1295717494 — PATRICIA ANN GEIGER M.D.
Practice Location Address:

614 HOWARD STREET , ASU
BOONE, NC
28608-0001

Practice Phone: 828-262-3100
Practice Fax: 828-262-6262

Directions to “APPALACHIAN STATE UNIVERSITY ” Practice Location

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