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Contact Information

CORRECTIONS AND REHABILITATION-HEADQUARTERS
2100 PEABODY ROAD
VACAVILLE, CA95687
 Phone: 707-451-0182
 Fax: 707-454-3400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CORRECTIONS AND REHABILITATION-HEADQUARTERS

NPI Number 1124648712
LBN Legal business name CORRECTIONS AND REHABILITATION-HEADQUARTERS
Authorized official PIERRE JAMES - (STAFF SERVICES MANAGER I)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/23/2020
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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