SAN BERNARDINO VALLEY COLLEGE STUDENT HEALTH SERVICES NPI 1407189525

NPI Information

NPI: 1407189525
Provider Name: SAN BERNARDINO VALLEY COLLEGE, STUDENT HEALTH SERVICES
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

CLIA Number: 05D1069365

Address:
701 S MOUNT VERNON AVE
STUDENT HEALTH SERVICES
SAN BERNARDINO, CA
ZIP 92410
Phone: (909) 038-4449
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SAN BERNARDINO VALLEY COLLEGE, STUDENT HEALTH SERVICES is a student health clinic center in San Bernardino, CA. SAN BERNARDINO VALLEY COLLEGE, STUDENT HEALTH SERVICES NPI is 1407189525. The provider is registered as an organization entity type.

The provider's business location address is:

701 S MOUNT VERNON AVE
STUDENT HEALTH SERVICES
SAN BERNARDINO, CA
ZIP 92410-705
Phone: (909) 038-4449
Fax: (909) 888-2357

The provider's authorized official is Elaine Akers .
The authorized official title is Coordinator Student Health Services and has the following contact phone number (909) 384-4495.

The CLIA number assigned to this NPI record is 05D1069365 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2009 and was last updated on 9/8/2009.

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
1	261QH0100X	Clinic/Center	Health Service	280062	CALIFORNIA	No
2	261QS1000X	Clinic/Center	Student Health	280062	CALIFORNIA	Yes

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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