County Of San Joaquin
Clinic/Center, Prison Health in French Camp, CA. Organization (NPI-2).
NPI number1023853751
StatusActive
Last updated in NPPESJul 31, 2024
Details
- NPI
- 1023853751
- Entity type
- Organization (NPI-2)
- Legal business name
- County Of San Joaquin
- Organization subpart
- No
- Enumeration date
- Jun 25, 2024
- Certification date
- Jul 31, 2024
- Last updated
- Jul 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2400X | Clinic/Center, Prison Health | – | – | Yes |
Other names
- Correctional Healthcare Services (Doing Business As)
Practice location
7000 Michael Canlis WayFrench Camp, CA 95231-9781
Phone 209-468-4487 · Fax 209-468-4318
Mailing address
7000 Michael Canlis WayFrench Camp, CA 95231-9781
Phone 209-468-4487 · Fax 209-468-4318
Authorized official
Lakisha Marie Holton
Correctional Health Administrator
2094684487
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