CLOVIS COMMUNITY COLLEGE NPI 1326406216

NPI Information

CLOVIS COMMUNITY COLLEGE is a student health clinic center in Fresno, CA. CLOVIS COMMUNITY COLLEGE NPI is 1326406216. The provider is registered as an organization entity type.
The provider Other Name Is Student Health Services.

The provider's business location address is:

10309 N WILLOW AVE
FRESNO, CA
ZIP 93730-401
Phone: (559) 325-5200

The provider's authorized official is Lorrie Hopper .
The authorized official title is Vice President and has the following contact phone number (559) 325-5238.

The CLIA number assigned to this NPI record is 05D2173050 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2016 and was last updated on 2/5/2016.

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:

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