Samuel Jackman Middle School

LBN: Another Choice, Another Chance
Samuel Jackman Middle School is an health care organization with primary practice located at 7925 Kentwall Dr , Sacramento CA 95823-6637. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Another Choice, Another Chance can be contacted via phone (916) 393-2352, or through Cannon, Star via phone (916) 388-9418.

Contact Information

Primary practice address
7925 Kentwall Dr Sacramento CA 95823-6637
Fax:
Website:
Authorized official contact:
Name: Cannon, Star CADC II

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 3432 California

Profile Details

NPI number 1114105962
LBN Legal business name Another Choice, Another Chance
DBA Doing business as Samuel Jackman Middle School
Authorized official Cannon, Star CADC II
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2008
Last updated Jan 14th, 2014 - about 11 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 1114105962 NPPES
California MEDICAID 3434

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