OrganizationActive
Jail Psych Services - Rccc
NPI 1598847519 · Prison Health Clinic/Center · Elk Grove, CA
Provider details
- NPI number
- 1598847519
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Hendricks, Clinical Director(916) 874-5222
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12450 Bruceville Rd
Elk Grove, CA 95757-9784
Phone: (916) 874-5222
Fax: (916) 874-8183
Approximate (ZIP-level) locationGet directions
Mailing address
12450 Bruceville Rd
Elk Grove, CA 95757-9784
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.