Community Re-Entry Program, Ils

LBN: University Of The Pacific
Community Re-Entry Program, Ils is an health care organization with primary practice located at 405 E Pine St , Stockton CA 95204-5522. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. University Of The Pacific can be contacted via phone (209) 946-2132, or through White, Holly via phone (209) 946-2132.

Contact Information

Primary practice address
405 E Pine St Stockton CA 95204-5522
Phone: (209) 946-2132
Fax: (209) 946-2284
Website:
Map and Directions
Authorized official contact:
Name: White, Holly
Phone: (209) 946-2132

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1851414189
LBN Legal business name University Of The Pacific
DBA Doing business as Community Re-Entry Program, Ils
Authorized official White, Holly
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Jun 23rd, 2016 - about 9 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 1851414189 NPPES
California Other 90441 MEDI-CAL
California Other 90432 MEDI-CAL

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