Provider Demographics
NPI:1720256316
Name:WINTHROP UNIVERSITY
Entity type:Organization
Organization Name:WINTHROP UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:803-323-2206
Mailing Address - Street 1:701 OAKLAND AVE.
Mailing Address - Street 2:HEALTH SERVICES
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29733
Mailing Address - Country:US
Mailing Address - Phone:803-323-2206
Mailing Address - Fax:803-323-3332
Practice Address - Street 1:701 OAKLAND AVE.
Practice Address - Street 2:HEALTH SERVICES
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29733
Practice Address - Country:US
Practice Address - Phone:803-323-2206
Practice Address - Fax:803-323-3332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
208D00000X, 261QS1000X
SC261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health