Preston Youth Correctional Facility

LBN: Preston Youth Correctional Facility
Preston Youth Correctional Facility is an health care organization with primary practice located at 201 Waterman Rd , Ione CA 95640-9701. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Preston Youth Correctional Facility can be contacted via phone (209) 274-8275, or through Erlebusch, Kenneth via phone (209) 274-8275.

Contact Information

Primary practice address
201 Waterman Rd Ione CA 95640-9701
Phone: (209) 274-8275
Fax: (209) 274-0865
Website:
Map and Directions
Authorized official contact:
Name: Erlebusch, Kenneth RPH
Phone: (209) 274-8275

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X LCF44606 California

Profile Details

NPI number 1033263488
LBN Legal business name Preston Youth Correctional Facility
DBA Doing business as
Authorized official Erlebusch, Kenneth RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Sep 12th, 2007 - about 17 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 1033263488 NPPES
Other 5625174 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 5625174 OTHER ID NUMBER-COMMERCIAL NUMBER

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