UNIVERSITY HEALTH CENTER PHCY (NPI# 1740491497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740491497 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HEALTH CENTER PHCY |
| Other Organization Name | SAM HOUSTON STATE UNIVERSITY |
| Practice Address |
1528 Avenue J Huntsville TX 77340-5227 |
| Practice Telephone | 9362941843 |
| Practice Fax Number | 9362941804 |
| Mailing Telephone | 9362941843 |
| Mailing Fax Number | 9362941804 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEITH LOTT (DIRECTOR) |
| Authorized Official Telephone | 9362941843 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
08007 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 4513506 | 01 |
| Other Name | Type Code |
|---|---|
| SAM HOUSTON STATE UNIVERSITY | Other Name - Individual/Organization |
| Street Address |
1528 AVENUE J |
| City | HUNTSVILLE |
| State | TX |
| Zip Code | 77340-5227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
| 1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
| 1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
| Find all providers in zip 77340 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538413059 | Alabama A&m University | Clinic/Center | 4011 Meridian St., Huntsville, AL 35762 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447669 | Wayne Williams | Clinic/Center | 244 Flightline, Spring Branch, TX 78070-6241 | 2019-09-24 |
| 1528454675 | University of Houston Health Center | Clinic/Center | 100 Uh Health Ctr, Houston, TX 77204-3019 | 2015-04-15 |
| 1114361250 | Stephen F. Austin State University | Clinic/Center | 2106 Raquet St, Nacogdoches, TX 75962-0001 | 2013-04-19 |
| 1669716205 | Campbell University Inc | Clinic/Center | 5050 Spring Valley Rd, Dallas, TX 75244-3995 | 2012-11-20 |
| 1477807121 | Stephen F. Austin State University | Clinic/Center | 712 Hayter, 13010 Sfa Station, Nacogdoches, TX 75962-3940 | 2012-11-02 |
| 1811283294 | Aledo Isd | Clinic/Center | 1008 Bailey Ranch Rd, Aledo, TX 76008-3110 | 2011-06-23 |
| 1316231228 | Desoto Isd | Clinic/Center | 600 Eagle Dr, Desoto, TX 75115-6006 | 2011-06-08 |
| 1952695538 | The University of Texas At El Paso | Clinic/Center | 550 W University Ave, Union Complex East #100, El Paso, TX 79968-8900 | 2011-06-01 |
| 1649579533 | Owens Franklin Health Center, Prairie View A&m University | Clinic/Center | Ofhc, Reda Bland Evans @ O. J. Baker Street, Prairie View A&m University, Prairie View, TX 77446 | 2011-03-18 |
| 1346551959 | University of North Texas | Clinic/Center | 1800 Chestnut St, Denton, TX 76201 | 2010-06-29 |
| Find all providers with the same taxonomy | ||||
| City | HUNTSVILLE |
| Zip Code | 77340 |
Please comment or provide details below to improve the information on UNIVERSITY HEALTH CENTER PHCY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.