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GRAMBLING STATE UNIVERSITY
NPI 1043648173
Clinic/Center - Student Health in Grambling, LA

Active since October 29, 2013
403 MAIN ST, GRAMBLING, LA 71245(318) 274-2351 Get Directions Write a Review

NPPES record last updated: October 29, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grambling State University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAMBLING STATE UNIVERSITY (NPI 1043648173) is a healthcare organization registered as a student health in Grambling, Louisiana and active in the NPI registry since October 2013. The organization lists Patrice Outley, Director Of Student Health Services, as its authorized official.

NPPES Registry Identity

NPI1043648173
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameGRAMBLING STATE UNIVERSITY
Location Address403 MAIN STGrambling, LA 71245-2715
Mailing Address403 Main St, P.o. Box 4251Grambling, LA 71245-2715 · (318) 274-2351
Phone(318) 274-2351
Organization SubpartNo
Authorized OfficialPatrice OutleyDirector Of Student Health Services · (318) 274-2351
Enumeration DateOctober 29, 2013
✔ NPI 1043648173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
403 MAIN ST, Grambling, LA 71245
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JYE SHUANG NG
Specialist/Technologist (Athletic Trainer)
403 MAIN ST
GRAMBLING, LA 71245
Lincoln Parish (318) 247-3811
TARENA MARSHALL LAT, ATC
Family Medicine (Sports Medicine)
403 MAIN ST
GRAMBLING, LA 71245
Lincoln Parish (601) 382-5170
MAKESA KORAN TAVERNIER
Case Manager/Care Coordinator
403 MAIN ST
GRAMBLING, LA 71245
Lincoln Parish (318) 231-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grambling State University's NPI number?

The NPI number for Grambling State University is 1043648173. It was assigned to this organization in the NPPES registry on October 29, 2013.

Where is Grambling State University located?

Grambling State University is located at 403 Main St, Grambling, LA 71245. The listed phone number is (318) 274-2351.

What is Grambling State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Grambling State University was last updated on October 29, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.