Provider Demographics
NPI:1720429665
Name:UNCW STUDENT HEALTH CENTER
Entity Type:Organization
Organization Name:UNCW STUDENT HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATRIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WESNER
Authorized Official - Suffix:
Authorized Official - Credentials:CAPPM
Authorized Official - Phone:910-962-4126
Mailing Address - Street 1:601 S COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-3201
Mailing Address - Country:US
Mailing Address - Phone:910-962-3280
Mailing Address - Fax:910-962-4130
Practice Address - Street 1:601 S COLLEGE RD
Practice Address - Street 2:2003 DEPAOLO HALL
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-3201
Practice Address - Country:US
Practice Address - Phone:910-962-3280
Practice Address - Fax:910-962-4130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2001-00723261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health