Organization · Type 2 NPI

Sierra Joint Community College District

Student Health Clinic/Center · Rocklin, CA

NPI number 1669657219 Active

Practice location

5100 Sierra College Blvd
Rocklin, CA 95677-3855

Call (916) 660-7490 Map

Fax (916) 630-4545

Mailing address

5100 Sierra College Blvd, Health Services
Rocklin, CA 95677-3855

Specialties and licenses

Taxonomy	Code	License
Local Education Agency (LEA)	251300000X	None listed
Student Health Clinic/Center Primary	261QS1000X	444305 (CA)

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

2 other providers at this address

Nancy Gail Brown, RN FNPFamily Nurse Practitioner Rocklin, CA NPI 1881654812
Wende Denise Hargrove, FNPFamily Nurse Practitioner Rocklin, CA NPI 1003814765

NPI record

NPI: 1669657219
Entity type: Organization (Type 2)
Issued: Jan 2, 2008
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Sierra Joint Community College District

Other names

<unavail>
Health Center - Rocklin Campus · other name
Health Services - Rocklin Campus · other name

Authorized official

Ms. 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 1669657219

Sierra Joint Community College District's National Provider Identifier is 1669657219, issued on Jan 2, 2008. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Rocklin, CA. The record was last updated on Jul 21, 2022.