Mlk Jr - Retro Calworks

LBN: County Of Sacramento
Mlk Jr - Retro Calworks is an health care organization with primary practice located at 3415 Martin Luther King Jr Blvd Suite 1, Sacramento CA 95817-3648. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. County Of Sacramento can be contacted via phone (916) 876-6600, or through Edwards-Buckley, Anne via phone (916) 875-9904.

Contact Information

Primary practice address
3415 Martin Luther King Jr Blvd Suite 1 Sacramento CA 95817-3648
Phone: (916) 876-6600
Fax: (916) 876-7467
Website:
Map and Directions
Authorized official contact:
Name: Edwards-Buckley, Anne
Phone: (916) 875-9904

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1588867469
LBN Legal business name County Of Sacramento
DBA Doing business as Mlk Jr - Retro Calworks
Authorized official Edwards-Buckley, Anne
Entity Organization
Organization subpart 1 No
Enumeration date Jun 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588867469 NPPES
California MEDICAID 8482

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