Provider Demographics
NPI:1538562996
Name:NAPA VALLEY COLLEGE
Entity type:Organization
Organization Name:NAPA VALLEY COLLEGE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, STUDENT HEALTH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMARISK
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:707-256-7780
Mailing Address - Street 1:2277 NAPA VALLEJO HWY
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-6236
Mailing Address - Country:US
Mailing Address - Phone:707-256-7780
Mailing Address - Fax:
Practice Address - Street 1:2277 NAPA VALLEJO HWY
Practice Address - Street 2:STUDENT HEALTH SERVICES
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-6236
Practice Address - Country:US
Practice Address - Phone:707-256-7780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAPA VALLEY COMMUNITY COLLEGE DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-30
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
No251300000XAgenciesLocal Education Agency (LEA)