Corrections and Rehabilitation-Headquarters

Organization Active NPI Pharmacy · Avenal, CA

NPI 1376178103 · NPPES record last updated Dec 4, 2024

Key facts

NPI
1376178103
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
Legal business name
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Practice address
1 Kings Way
Avenal, CA 93204
Phone
(559) 386-0587
Fax
(559) 386-7442
NPI assigned
Mar 12, 2020
Organization subpart
Yes
Parent organization (as reported)
CORRECTIONS AND REHABILITATION

Authorized official

Name
Pierre Caesare Saucier James
Title
Staff Services Manager I
Phone
(510) 780-6997

Corporate family (same tax ID) 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

National Provider Directory

Tax ID family
Corrections and Rehabilitation-Headquarters (42 organizations share this tax ID)
Part of
Corrections and Rehabilitation-Headquarters

Locations

1 Kings Way
Avenal, CA 93204
Phone (559) 386-0587

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Yes

Addresses

Primary practice location

1 Kings Way
Avenal, CA 93204

Mailing address

P.O. Box 8
Avenal, CA 93204
Phone (559) 386-0587

Other names

  • Avenal State Prison Doing business as

Other providers in Avenal, CA

All providers in Avenal, CA · Pharmacy in California

Sources for this page

Verify at the official NPI Registry.