Organization · Type 2 NPI

Cdcr-Pbsp

Prison Health Clinic/Center · Crescent City, CA

NPI number 1437280153 Active

Practice location

5905 Lake Earl Dr
Crescent City, CA 95532-0001

Mailing address

PO Box 7000
Crescent City, CA 95532-0001

Specialties and licenses

TaxonomyCodeLicense
Prison Health Clinic/Center Primary 261QP2400XA043460 (CA)

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

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About NPI 1437280153

Cdcr-Pbsp's National Provider Identifier is 1437280153, issued on Mar 7, 2007. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Crescent City, CA. The record was last updated on Aug 22, 2020.