Purdue University
Clinic/Center, Student Health in West Lafayette, IN. Organization (NPI-2).
NPI number1346239696
StatusActive
Last updated in NPPESJul 31, 2008
Details
- NPI
- 1346239696
- Entity type
- Organization (NPI-2)
- Legal business name
- Purdue University
- Organization subpart
- Yes
- Enumeration date
- Oct 19, 2005
- Last updated
- Jul 31, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1000X | Clinic/Center, Student Health | – | – | Yes |
Other names
- Purdue University Student Health Center (Doing Business As)
Practice location
601 Stadium Mall DrWest Lafayette, IN 47907-2052
Phone 765-494-1700 · Fax 765-496-1227
Mailing address
601 Stadium Mall DrWest Lafayette, IN 47907-2052
Phone 765-494-1700 · Fax 765-496-1227
Authorized official
Joan M Vaughan
Director Hipaa Privacy Compliance
7654961927
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