Provider Demographics
NPI:1861928293
Name:BUTTE COLLEGE
Entity type:Organization
Organization Name:BUTTE COLLEGE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT FOR ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SULESKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-895-2353
Mailing Address - Street 1:3536 BUTTE CAMPUS DR
Mailing Address - Street 2:STUDENT HEALTH CLINIC
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965-8303
Mailing Address - Country:US
Mailing Address - Phone:530-895-2441
Mailing Address - Fax:
Practice Address - Street 1:3536 BUTTE CAMPUS DR
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965-8303
Practice Address - Country:US
Practice Address - Phone:530-895-2441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BUTTE-GLENN COMMUNITY COLLEGE DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health