Provider Demographics
NPI:1376905026
Name:SOUTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
Entity Type:Organization
Organization Name:SOUTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
Other - Org Name:SADDLEBACK COLLEGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, STUDENT HEALTH SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS-CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-582-4607
Mailing Address - Street 1:28000 MARGUERITE PKWY
Mailing Address - Street 2:STUDENT HEALTH SERVICES - SSC 177
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-3635
Mailing Address - Country:US
Mailing Address - Phone:949-582-4606
Mailing Address - Fax:949-582-4227
Practice Address - Street 1:28000 MARGUERITE PKWY
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3635
Practice Address - Country:US
Practice Address - Phone:949-582-4606
Practice Address - Fax:949-582-4227
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health