California Polytechnic State University At San Luis Obispo in San Luis Obispo - Clinic/center
California Polytechnic State University At San Luis Obispo - NPI 1750442653
California Polytechnic State University At San Luis Obispo is a Clinic/center in San Luis Obispo, California. California Polytechnic State University At San Luis Obispo practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for California Polytechnic State University At San Luis Obispo is 1750442653. The last update date is 2008-08-25.
California Polytechnic State University At San Luis Obispo's current location address is Cal Poly State University Health Services, San Luis Obispo, California. You can contact this provider via phone number 8057561211 and fax number 8057455298. The mailing address for California Polytechnic State University At San Luis Obispo is Cal Poly State University Health Services, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | California Polytechnic State University At San Luis Obispo |
|---|---|
| Address | Cal Poly State University Health Services, San Luis Obispo, California |
| Phone Number | 8057561211 |
| Fax Number | 8057455298 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NURSE PRAC |
|---|---|
| Authorized Official Name | Freeman A. Carol |
| Credentials | FNP |
| Telephone Number | 8057561211 |
NPI Number Detail
| NPI Number | 1750442653 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2008-08-25 |
Provider Mailing Address Detail
| Address | Cal Poly State University Health Services |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 93407 |
| Phone Number | 8057561211 |
| Fax Number | 8057455298 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | RN 358948 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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What is the unique identification code assigned to California Polytechnic State University At San Luis Obispo by the Centers for Medicare & Medicaid Services?
The California Polytechnic State University At San Luis Obispo has been issued the NPI (National Provider Identifier) 1750442653. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where California Polytechnic State University At San Luis Obispo's facilities are situated?
The facilities of California Polytechnic State University At San Luis Obispo are physically located at the following address: Cal Poly State University Health Services, San Luis Obispo, CA, 93407.
What is California Polytechnic State University At San Luis Obispo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for California Polytechnic State University At San Luis Obispo is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750442653 to California Polytechnic State University At San Luis Obispo?
The Centers for Medicare & Medicaid Services assigned the 1750442653 to California Polytechnic State University At San Luis Obispo on 2006-12-13.
When was the information regarding California Polytechnic State University At San Luis Obispo most recently updated?
The details pertaining to the California Polytechnic State University At San Luis Obispo, including its address, specialty, and other relevant information, were last refreshed on 2008-08-25.
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