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STUDENT HEALTH SERVICE CALIFORNIA STATE UNIVERSITY CHICO NPI 1013253822


NPI Information

NPI: 1013253822
Provider Name: STUDENT HEALTH SERVICE, CALIFORNIA STATE UNIVERSITY CHICO

Doing Business As: WELLCAT HEALTH CENTER

Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Organization

CLIA Number: 05D0064117

Address:
601 WARNER STR MEDICAL CLINIC FOOR 1
CHICO, CA
ZIP 95929
Phone: (530) 898-5241
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STUDENT HEALTH SERVICE, CALIFORNIA STATE UNIVERSITY CHICO is a student in an organized health care education training program in Chico, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. STUDENT HEALTH SERVICE, CALIFORNIA STATE UNIVERSITY CHICO NPI is 1013253822. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellcat Health Center.

The provider's business location address is:

601 WARNER STR MEDICAL CLINIC FOOR 1
CHICO, CA
ZIP 95929-777
Phone: (530) 898-5241
Fax: (530) 898-4057

The provider's authorized official is Anel Anderson .
The authorized official title is Pharmacist In Charge and has the following contact phone number (530) 898-3044.

The CLIA number assigned to this NPI record is 05D0064117 - school/student health service with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/26/2012 and was last updated on 11/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramCLE 2073CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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