Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cdcr-Pbsp

Organization Prison Health Clinic/Center · NPI 1437280153

Cdcr-Pbsp is a Prison Health Clinic/Center in Crescent City, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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Practice location Address checks out

5905 Lake Earl Dr
Crescent City, CA 95532-0001
Phone: (707) 465-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prison Health Clinic/Center (primary) Taxonomy 261QP2400X · Licence A043460 (CA)

Record details

NPI number1437280153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maureen McLean — Health Care Manager · (707) 465-1000
Other names Pelican Bay State Prison
NPI enumeratedMarch 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 7000, Crescent City, CA 95532-0001

Other providers in Crescent City