| Modesto Junior College | |
|
435 College Ave Modesto CA 95350-5808 | |
| (209) 575-6550 | |
| Not Available |
| Full Name | Modesto Junior College |
|---|---|
| Speciality | Local Education Agency (lea) |
| Location | 435 College Ave, Modesto, California |
| Authorized Official Name and Position | Teresa Scott (EXECUTIVE VICE CHANCELLOR) |
| Authorized Official Contact | 2095756351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modesto Junior College 435 College Ave Health Services Modesto CA 95350-5808 Ph: (209) 575-6550 | Modesto Junior College 435 College Ave Modesto CA 95350-5808 Ph: (209) 575-6550 |
| NPI Number | 1750813663 |
|---|---|
| Provider Enumeration Date | 03/30/2017 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750813663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | () | Secondary |
| 251300000X | Local Education Agency (lea) | () | Primary |
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