Organization · Type 2 NPI

Sierra Joint Community College District

Student Health Clinic/Center · Grass Valley, CA

NPI number 1063693349 Active

Practice location

250 Sierra College Dr
Grass Valley, CA 95945-5726

Fax (530) 274-5347

Specialties and licenses

Taxonomy	Code	License
Local Education Agency (LEA)	251300000X	None listed
Student Health Clinic/Center Primary	261QS1000X	None listed

Student Health Clinic/Center: Definition to come...

NPI record

NPI: 1063693349
Entity type: Organization (Type 2)
Issued: Nov 15, 2007
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Sierra Joint Community College District

Other names

<unavail>
Sierra College, Nevada County Campus, Health Services · doing business as
Sierra College, Health Services · other name

Authorized official

Wende D. Fortner, FNP
Coordinator, Health Services
(916) 660-7491

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063693349

Sierra Joint Community College District's National Provider Identifier is 1063693349, issued on Nov 15, 2007. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Grass Valley, CA. The record was last updated on Jul 21, 2022.