NPI: 1063693349
Provider Name: SIERRA JOINT COMMUNITY COLLEGE DISTRICT
Doing Business As: SIERRA COLLEGE, NEVADA COUNTY CAMPUS, HEALTH SERVICES
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization
Specialization: Student Health
CLIA Number: 05D0923304
Address:
250 SIERRA COLLEGE DR
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 274-5317
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SIERRA JOINT COMMUNITY COLLEGE DISTRICT is a student health clinic center in Grass Valley, CA. SIERRA JOINT COMMUNITY COLLEGE DISTRICT NPI is 1063693349. The provider is registered as an organization entity type.
The provider Is Doing Business As Sierra College, Nevada County Campus, Health Services.
The provider's business location address is:
250 SIERRA COLLEGE DR
GRASS VALLEY, CA
ZIP 95945-726
Phone: (530) 274-5317
Fax: (530) 274-5347
The provider's authorized official is Wende D. Fortner .
The authorized official title is Coordinator, Health Services and has the following contact phone number (916) 660-7491.
The CLIA number assigned to this NPI record is 05D0923304 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 11/15/2007 and was last updated on 7/21/2022.