Sierra Conservation Center

LBN: Corrections And Rehabilitation
Sierra Conservation Center is an health care organization with primary practice located at 5100 O'Byrnes Ferry Road Attn: Pharmacy, Jamestown CA 95327. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Corrections And Rehabilitation can be contacted via phone (209) 984-5291, or through Tharratt, Robert Steven via phone (916) 691-9913.

Contact Information

Primary practice address
5100 O'Byrnes Ferry Road Attn: Pharmacy Jamestown CA 95327
Phone: (209) 984-5291
Fax: (209) 984-0630
Website:
Map and Directions
Authorized official contact:
Name: Tharratt, Robert Steven Doctor of Medicine (MD)
Phone: (916) 691-9913

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X LCF 40998 California

Profile Details

NPI number 1871898304
LBN Legal business name Corrections And Rehabilitation
DBA Doing business as Sierra Conservation Center
Authorized official Tharratt, Robert Steven Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 13th, 2011
Last updated Mar 19th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871898304 NPPES
Other 5639856 NCPDP PROVIDER IDENTIFICATION NUMBER

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