OrganizationActive
Chuckawala Vallwy State Prison
NPI 1356701494 · Prison Health Clinic/Center · Blythe, CA
Provider details
- NPI number
- 1356701494
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Michael Lee, Cme
- License
- 63848 (CA)
Mailing address
19025 Wileys Well Rd
Blythe, CA 92225-2287
Registry dates
- Enumerated
- 2016-03-02
- Last updated
- 2016-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.