COASTAL CAROLINA UNIVERSITY STUDENT HEALTH SERVICES
NPI 1083800858
Clinic/Center - Student Health in Conway, SC

Q: What is Coastal Carolina University Student Health Services's specialty?

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

Active since September 14, 2007

204 UNIVERSITY BLVD, CONWAY, SC 29526(843) 349-6543 Get Directions Write a Review

NPPES record last updated: September 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Coastal Carolina University Student Health Services NPPES

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

COASTAL CAROLINA UNIVERSITY STUDENT HEALTH SERVICES (NPI 1083800858) is a healthcare organization registered as a student health in Conway, South Carolina and active in the NPI registry since September 2007. The organization lists Caesar Ross, Director, as its authorized official.

NPPES Registry Identity

NPI1083800858

Entity TypeOrganization

Primary Taxonomy261QS1000X

Legal Business NameCOASTAL CAROLINA UNIVERSITY STUDENT HEALTH SERVICES

Location Address204 UNIVERSITY BLVDConway, SC 29526-8834

Mailing AddressPo Box 261954Conway, SC 29528-6054 · (843) 349-6543 · Fax (843) 349-6546

Phone(843) 349-6543

Organization SubpartNo

Authorized OfficialCaesar RossDirector · (843) 349-6543

Enumeration DateSeptember 14, 2007

✔ NPI 1083800858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities

Taxonomy Code261QS1000X

License✔ Licensed in SC · 27353

204 UNIVERSITY BLVD, Conway, SC 29526

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Other Identifiers 1

Medicare UPINH78089

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.

MISS TONYA RENELL MCKENZIE APRN-BC

Nurse Practitioner (Family)

204 UNIVERSITY BLVD
CONWAY, SC 29526

Horry County (843) 349-6543

COASTAL CAROLINA UNIVERSITY

Clinic/Center

204 UNIVERSITY BLVD
CONWAY, SC 29526

Horry County (843) 649-6543

JENNIFER O KUPERMAN M.D.

Internal Medicine

204 UNIVERSITY BLVD
CONWAY, SC 29526

Horry County (843) 349-6543

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 Coastal Carolina University Student Health Services's NPI number?

The NPI number for Coastal Carolina University Student Health Services is 1083800858. It was assigned to this organization in the NPPES registry on September 14, 2007.

Where is Coastal Carolina University Student Health Services located?

Coastal Carolina University Student Health Services is located at 204 University Blvd, Conway, SC 29526. The listed phone number is (843) 349-6543.

What is Coastal Carolina University Student Health Services'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 Coastal Carolina University Student Health Services was last updated on September 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.