OrganizationActive
Corrections and Rehabilitation-Headquarters
NPI 1396169405 · Prison Health Clinic/Center · Elk Grove, CA
Provider details
- NPI number
- 1396169405
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- California Department of Corrections and Rehabilitation
- Organization subpart
- Yes
- Authorized official
- Pierre James, Staff Services Manager I(510) 780-6997
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
8280 Long Leaf Drive
D2-406
Elk Grove, CA 95758
Phone: (916) 691-5749
Approximate (ZIP-level) locationGet directions
Mailing address
8280 Long Leaf Drive
Elk Grove, CA 95758
Other names (DBA / former)
- Other name
- Cchcs
Registry dates
- Enumerated
- 2014-02-10
- Last updated
- 2024-12-04
- Certified
- 2024-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.