Mule Creek Sate Prison

LBN: Mule Creek Sate Prison
Mule Creek Sate Prison is an health care organization with primary practice located at 9266 Dairy Ct , Elk Grove CA 95624-3583. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Mule Creek Sate Prison can be contacted via phone (209) 274-4911, or through Smiley, David via phone (209) 274-4911.

Contact Information

Primary practice address
9266 Dairy Ct Elk Grove CA 95624-3583
Phone: (209) 274-4911
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smiley, David
Phone: (209) 274-4911

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X LCF35817 California

Profile Details

NPI number 1730583311
LBN Legal business name Mule Creek Sate Prison
DBA Doing business as
Authorized official Smiley, David
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2014
Last updated Oct 10th, 2014 - about 10 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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