Pelican Bay State Prison

LBN: Cdcr-Pbsp
Pelican Bay State Prison is an health care organization with primary practice located at 5905 Lake Earl Dr , Crescent City CA 95532-0001. The organization recently has only one registered license in Ambulatory Health Care Facilities / Prison Health, which is considered as the primary health care specialty. Cdcr-Pbsp can be contacted via phone (707) 465-1000, or through Mclean, Maureen via phone (707) 465-1000.

Contact Information

Primary practice address
5905 Lake Earl Dr Crescent City CA 95532-0001
Phone: (707) 465-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mclean, Maureen
Phone: (707) 465-1000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Prison Health 261QP2400X A043460 California

Profile Details

NPI number 1437280153
LBN Legal business name Cdcr-Pbsp
DBA Doing business as Pelican Bay State Prison
Authorized official Mclean, Maureen
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 22nd, 2020 - about 4 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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