Chuckawala Vallwy State Prison
Chuckawala Vallwy State Prison is a Prison Health Clinic/Center in Blythe, California. Licensed in California. Registered with an NPI since 2016.
- Licensed in
- CA
- In the registry since
- 2016
Practice location Address checks out
19025 Wileys Well RdBlythe, CA 92225-2287
Phone: (760) 922-5300
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prison Health Clinic/Center (primary) | Taxonomy 261QP2400X · Licence 63848 (CA) |
|---|
Record details
| NPI number | 1356701494 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Lee — Cme · (760) 922-5300 |
| NPI enumerated | March 2, 2016 |
| Last updated in NPPES | March 2, 2016 |
| Mailing address | 19025 Wileys Well Rd, Blythe, CA 92225-2287 |