Cache Creek Lodge Inc

LBN: Cache Creek Lodge Inc
Cache Creek Lodge Inc is an health care organization with primary practice located at 435 Aspen St , Woodland CA 95695-2665. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Cache Creek Lodge Inc can be contacted via phone (530) 662-5727, or through Marrtinez, Peter M via phone (530) 662-5727.

Contact Information

Primary practice address
435 Aspen St Woodland CA 95695-2665
Phone: (530) 662-5727
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marrtinez, Peter M
Phone: (530) 662-5727

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1790036812
LBN Legal business name Cache Creek Lodge Inc
DBA Doing business as
Authorized official Marrtinez, Peter M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2012
Last updated Oct 18th, 2012 - about 12 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 1790036812 NPPES
California MEDICAID 1790036812

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