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Contact Information

CORRECTIONS AND REHABILITATION-HEADQUARTERS
8280 LONG LEAF DRIVE
D2-406
ELK GROVE, CA95758
 Phone: 916-691-5749
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prison Health

261QP2400X
Indicates primary specialty

NPI Profile & details for CORRECTIONS AND REHABILITATION-HEADQUARTERS

NPI # 1396169405
LBN Legal business name CORRECTIONS AND REHABILITATION-HEADQUARTERS
Authorized official PIERRE JAMES - (STAFF SERVICES MANAGER I)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/10/2014
Last updated 12/04/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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