Provider Demographics
NPI:1275596801
Name:CAMPBELL UNIVERSITY
Entity Type:Organization
Organization Name:CAMPBELL UNIVERSITY
Other - Org Name:STUDENT HEALTH SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:J
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-893-1561
Mailing Address - Street 1:PO BOX 565
Mailing Address - Street 2:129 T.T. LANIER STREET
Mailing Address - City:BUIES CREEK
Mailing Address - State:NC
Mailing Address - Zip Code:27506-0565
Mailing Address - Country:US
Mailing Address - Phone:910-893-1560
Mailing Address - Fax:910-893-1559
Practice Address - Street 1:129 T.T. LANIER STREET
Practice Address - Street 2:BOX 565
Practice Address - City:BUIES CREEK
Practice Address - State:NC
Practice Address - Zip Code:27506-0565
Practice Address - Country:US
Practice Address - Phone:910-893-1560
Practice Address - Fax:910-893-1559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health