State Of California Prison Industry Authority

LBN: State Of California Prison Industry Authority
State Of California Prison Industry Authority is an health care organization with primary practice located at 5905 Lake Earl Drive , Crescent City CA 95531. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. State Of California Prison Industry Authority can be contacted via phone (707) 465-1000, or through Shatzer, Earl C. via phone (916) 358-1721.

Contact Information

Primary practice address
5905 Lake Earl Drive Crescent City CA 95531
Phone: (707) 465-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shatzer, Earl C.
Phone: (916) 358-1721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1659588739
LBN Legal business name State Of California Prison Industry Authority
DBA Doing business as
Authorized official Shatzer, Earl C.
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1659588739 NPPES
California MEDICAID PIA000101

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