State of California
State of California is a Prison Health Clinic/Center in Chowchilla, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
21633 Avenue 24Chowchilla, CA 93610-9650
Phone: (559) 665-6100
Fax: (559) 665-6586
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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 LCF 45081 (CA) |
|---|---|
| Custodial Care Facility | Taxonomy 311Z00000X · Licence LCF 45081 (CA) |
Record details
| NPI number | 1316322647 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Francisco Lopez — Pharmacist Ii · (559) 665-6100 |
| Other names | California Correctional Health Care Services |
| NPI enumerated | July 28, 2015 |
| Last updated in NPPES | July 28, 2015 |
| Mailing address | 21633 Avenue 24, Chowchilla, CA 93610-9650 |
Other providers in Chowchilla
-
Central Ca Women's Facility
23370 Road 22, Chowchilla, CA 93610-1501 · (559) 665-5531