Provider Demographics
NPI:1720313026
Name:STUDENT HEALTH OPTIONS
Entity Type:Organization
Organization Name:STUDENT HEALTH OPTIONS
Other - Org Name:THE HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-529-5661
Mailing Address - Street 1:PO BOX 1075
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-0021
Mailing Address - Country:US
Mailing Address - Phone:509-529-1692
Mailing Address - Fax:
Practice Address - Street 1:534 S 3RD AVE STE B-101
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-3177
Practice Address - Country:US
Practice Address - Phone:509-529-5661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health