Provider Demographics
NPI:1407026628
Name:WESTERN CAROLINA UNIVERSITY
Entity Type:Organization
Organization Name:WESTERN CAROLINA UNIVERSITY
Other - Org Name:WCU UNIVERSITY HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:HEALTH CENTER DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-227-7640
Mailing Address - Street 1:WESTERN CAROLINA UNIVERSITY
Mailing Address - Street 2:HWY 107 ATTN: BIRD BUILDING
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723
Mailing Address - Country:US
Mailing Address - Phone:828-227-7640
Mailing Address - Fax:828-227-7400
Practice Address - Street 1:WESTERN CAROLINA UNIVERSITY
Practice Address - Street 2:HWY 107 ATTN: BIRD BUILDING
Practice Address - City:CULLOWHEE
Practice Address - State:NC
Practice Address - Zip Code:28723
Practice Address - Country:US
Practice Address - Phone:828-227-7640
Practice Address - Fax:828-227-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29251261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCF51002Medicare UPIN
NCC47118Medicare UPIN
NCC82027Medicare UPIN