Provider Demographics
NPI:1356882690
Name:JAMES MADISON UNIVERSITY
Entity type:Organization
Organization Name:JAMES MADISON UNIVERSITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT VICE PRESIDENT OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:540-568-6433
Mailing Address - Street 1:601 UNIVERSITY BLVD
Mailing Address - Street 2:MSC 9010
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807-1019
Mailing Address - Country:US
Mailing Address - Phone:540-568-2621
Mailing Address - Fax:540-568-6409
Practice Address - Street 1:235 MARTIN LUTHER KING JR. WAY
Practice Address - Street 2:MSC 4304
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807
Practice Address - Country:US
Practice Address - Phone:540-568-6491
Practice Address - Fax:540-568-5757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001128231H00000X
VA2101001688237600000X
VA2101001399237600000X
VA2201001349231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty