Samford University
Clinic/Center, Student Health in Birmingham, AL. Organization (NPI-2).
NPI number1699027680
StatusActive
Last updated in NPPESOct 15, 2012
Details
- NPI
- 1699027680
- Entity type
- Organization (NPI-2)
- Legal business name
- Samford University
- Organization subpart
- No
- Enumeration date
- Oct 15, 2012
- Last updated
- Oct 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1000X | Clinic/Center, Student Health | – | – | Yes |
Other names
- Samford University Athletics (Doing Business As)
Practice location
800 Lakeshore DrHanna Center, Rm 1105
Birmingham, AL 35229-0001
Phone 205-726-2811
Mailing address
800 Lakeshore DrHanna Center, Rm 1105
Birmingham, AL 35229-0001
Phone 205-726-2811
Authorized official
Henry B. Brock
Vp, Business & Financial Affairs
2057262811
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