Chuckawala Vallwy State Prison

LBN: Chuckawala Vallwy State Prison
Chuckawala Vallwy State Prison is an health care organization with primary practice located at 19025 Wileys Well Rd , Blythe CA 92225-2287. The organization recently has only one registered license in Ambulatory Health Care Facilities / Prison Health, which is considered as the primary health care specialty. Chuckawala Vallwy State Prison can be contacted via phone (760) 922-5300, or through Lee, Michael via phone (760) 922-5300.

Contact Information

Primary practice address
19025 Wileys Well Rd Blythe CA 92225-2287
Phone: (760) 922-5300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Michael Doctor of Medicine (MD)
Phone: (760) 922-5300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Prison Health 261QP2400X 63848 California

Profile Details

NPI number 1356701494
LBN Legal business name Chuckawala Vallwy State Prison
DBA Doing business as
Authorized official Lee, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2016
Last updated Mar 2nd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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