Provider Demographics
NPI:1124875240
Name:STATE CENTER COMMUNITY COLLEGE DISTRICT
Entity type:Organization
Organization Name:STATE CENTER COMMUNITY COLLEGE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, ADMINISTRATIVE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGHFILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-494-3000
Mailing Address - Street 1:995 N REED AVE
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-2017
Mailing Address - Country:US
Mailing Address - Phone:559-494-3028
Mailing Address - Fax:800-643-1067
Practice Address - Street 1:995 N REED AVE
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-2017
Practice Address - Country:US
Practice Address - Phone:559-494-3028
Practice Address - Fax:800-643-1067
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STATE CENTER COMMUNITY COLLEGE DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
No251300000XAgenciesLocal Education Agency (LEA)