Organization · Type 2 NPI

Corrections and Rehabilitation-Headquarters

Prison Health Clinic/Center · Elk Grove, CA

NPI number 1396169405 Active

Practice location

8280 Long Leaf Drive, D2-406
Elk Grove, CA 95758

Specialties and licenses

Taxonomy	Code	License
Prison Health Clinic/Center Primary	261QP2400X	None listed

Prison Health Clinic/Center: Definition to come...

Another provider at this address

California Correctional Health Care ServicesSubstance Use Disorder Rehabilitation Hospital Unit Elk Grove, CA NPI 1548607393

Other prison health clinic/center providers in Elk Grove

Jail Psych Services - RCCCPrison Health Clinic/Center Elk Grove, CA NPI 1598847519

See all in Elk Grove →

NPI record

NPI: 1396169405
Entity type: Organization (Type 2)
Issued: Feb 10, 2014
Last updated: Dec 4, 2024
Status: Active
Subpart: Yes of California Department of Corrections and Rehabilitation

Other names

<unavail>
Cchcs · other name

Authorized official

Pierre Caesare Saucier James
Staff Services Manager I
(510) 780-6997

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1396169405

Corrections and Rehabilitation-Headquarters's National Provider Identifier is 1396169405, issued on Feb 10, 2014. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Elk Grove, CA. The record was last updated on Dec 4, 2024.