Nccu Sports Medicine

LBN: North Carolina Central University
Nccu Sports Medicine is an health care organization with primary practice located at 1801 Fayetteville St , Durham NC 27707-3129. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. North Carolina Central University can be contacted via phone (919) 530-6215, or through Bass, Mouzon via phone (972) 367-4845.

Contact Information

Primary practice address
1801 Fayetteville St Durham NC 27707-3129
Phone: (919) 530-6215
Fax: (972) 367-3451
Website:
Map and Directions
Authorized official contact:
Name: Bass, Mouzon
Phone: (972) 367-4845

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1508237850
LBN Legal business name North Carolina Central University
DBA Doing business as Nccu Sports Medicine
Authorized official Bass, Mouzon
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2015
Last updated Oct 13th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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