Organization Active NPI

Chico State University, Student Health Service

  • Student Health Clinic/Center
  • Chico, CA
National Provider Identifier
1144464025
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
CHICO STATE UNIVERSITY, STUDENT HEALTH SERVICE
Practice address
Warner Ave & College Dr
Chico, CA 95929-0777
Phone
(530) 898-5241
Fax
(530) 898-4057
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juanita Mottley
Title
Director of Student Health Services
Phone
(530) 898-3118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

Warner Ave & College Dr
Chico, CA 95929-0777

Mailing address

400 West First Street
Chico, CA 95929-0777
Phone (530) 898-5241

National Provider Directory

National Provider Directory

Locations

Warner Ave College Dr
Chico, CA 95929
Phone (530) 898-5241

400 W 1st St
Chico, CA 95929
Phone (530) 898-5241

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1144464025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEST FIRST STREET",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959290777",
            "telephone_number": "530-898-5241",
            "fax_number": "530-898-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WARNER AVE & COLLEGE DR",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959290777",
            "telephone_number": "530-898-5241",
            "fax_number": "530-898-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICO STATE UNIVERSITY, STUDENT HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "MOTTLEY",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT HEALTH SERVICES",
        "authorized_official_telephone_number": "530-898-3118"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.