Organization
CLOVIS COMMUNITY COLLEGE
Active
Parent organization
STATE CENTER COMMUNITY COLLEGE DISTRICT
Other names
Student Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE CENTER COMMUNITY COLLEGE DISTRICT
Authorized official
LORRIE HOPPER (VICE PRESIDENT)
(559) 325-5238
Entity
Organization
Contact information
Practice address
10309 N WILLOW AVE, FRESNO, CA 93730-5401
(559) 325-5200
Mailing address
10309 N WILLOW AVE, FRESNO, CA 93730-5401
(559) 325-5200
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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