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STATE OF WEST VIRGINIA CONCORD UNIVERSITY
NPI 1194287565
Clinic/Center - Student Health in Athens, WV

Active since April 03, 2019
1000 VERMILLION ST, ATHENS, WV 24712(304) 384-7325 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2023, Aug 4, 2022, Jul 29, 2022 and 2 more (5 updates tracked since 2019).

About State Of West Virginia Concord University NPPES

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

STATE OF WEST VIRGINIA CONCORD UNIVERSITY (NPI 1194287565) is a healthcare organization registered as a student health in Athens, West Virginia and active in the NPI registry since April 2019. The organization lists Hugh David Campbell, Director Of Health Services, as its authorized official.

NPPES Registry Identity

NPI1194287565
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameSTATE OF WEST VIRGINIA CONCORD UNIVERSITY
Location Address1000 VERMILLION STAthens, WV 24712-9027
Mailing AddressPo Box 1000Athens, WV 24712-1000 · (304) 384-5608
Phone(304) 384-7325
Organization SubpartNo
Authorized OfficialHugh David CampbellDirector Of Health Services · (304) 384-5331
Enumeration DateApril 3, 2019
Last NPPES UpdateNovember 29, 20235 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
✔ NPI 1194287565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
Also ListedEmergency Medicine · Sports MedicineTaxonomy 207PS0010X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
Also ListedPhysician AssistantTaxonomy 363A00000X
1000 VERMILLION ST, Athens, WV 24712
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

EDDIE JAMES BLAKE GRADUATE
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (800) 344-6679
BRENT ALEXANDER ROARK ATC
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 384-6320
KATELYN GOLINSKY
Student in an Organized Health Care Education/Training Program
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 322-6264
HUNTER ALEXANDRIA BAILEY
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 710-9849
JENNIFER LAUREN SICINSKI
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 384-6239
JESSE LILLY
Student in an Organized Health Care Education/Training Program
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 322-6264
IMANI T RODGERS
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (757) 232-7232
BRITTANY NICOLE DOMINGO MA, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST, BOX C688
ATHENS, WV 24712
Mercer County (681) 422-9113

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 State Of West Virginia Concord University's NPI number?

The NPI number for State Of West Virginia Concord University is 1194287565. It was assigned to this organization in the NPPES registry on April 3, 2019.

Where is State Of West Virginia Concord University located?

State Of West Virginia Concord University is located at 1000 Vermillion St, Athens, WV 24712. The listed phone number is (304) 384-7325.

What is State Of West Virginia Concord 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 State Of West Virginia Concord University was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.