Provider Demographics
NPI:1508237769
Name:UNC CHAPEL HILL CAMPUS HEALTH SERVICES
Entity Type:Organization
Organization Name:UNC CHAPEL HILL CAMPUS HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:COVINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-966-9176
Mailing Address - Street 1:320 EMERGENCY ROOM DR
Mailing Address - Street 2:CAMPUS HEALTH SERVICES CB# 7470
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7470
Mailing Address - Country:US
Mailing Address - Phone:919-966-3658
Mailing Address - Fax:919-966-6575
Practice Address - Street 1:320 EMERGENCY ROOM DR
Practice Address - Street 2:CAMPUS HEALTH SERVICES CB# 7470
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7470
Practice Address - Country:US
Practice Address - Phone:919-966-3658
Practice Address - Fax:919-966-6575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP010012261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)