| California State University, Sacramento Student Health Center | |
|
6000 J Street Sacramento CA 95819-6045 | |
| (916) 278-6035 | |
| Not Available |
| Full Name | California State University, Sacramento Student Health Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 6000 J Street, Sacramento, California |
| Authorized Official Name and Position | Jeanne Marie Harris Van Dahlen (SENIOR ASSOCIATE VICE PRESIDENT) |
| Authorized Official Contact | 9162781772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California State University, Sacramento Student Health Center 6000 J Street Sacramento CA 95819-6045 Ph: (916) 278-6035 | California State University, Sacramento Student Health Center 6000 J Street Sacramento CA 95819-6045 Ph: (916) 278-6035 |
| NPI Number | 1376659896 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376659896 | NPI | - | NPPES |
| GR00090480 | Medicaid | CA | |
| 1376659896 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 261846341 (California) | Primary |
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