Grambling State University

NPI 1043648173 - Clinic/Center - 261QS1000X

NPI Details
NPI 1043648173
Enumeration Date 10/29/2013
Last Updated 10/29/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name PATRICE PATRICE
Position DIRECTOR OF STUDENT HEALTH SERVICES
Phone (318) 274-2351
Fax
Practice Location
403 MAIN ST
GRAMBLING LA, 71245-2715, US
Phone (318) 274-2351
Fax
Business Location
403 MAIN ST
P.O. BOX 4251
GRAMBLING LA, 71245-2715, US
Phone (318) 274-2351
Fax
Toxanomy
Taxonomy Code 261QS1000X
License State
License Number
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According to our database, Grambling State University NPI is 1043648173, taxonomy code is 261QS1000X Grambling State University physically located at 403 Main St, Grambling LA, 71245-2715. NPI Number 1033115704 has the healthcare provider type.

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1043648173 NPI number is provided on an as is basis without warranty of any kind. 1043648173 is maintained by the National Plan & Provider Enumeration System. The contents of Grambling State University are for informational purposes only.