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CALIPATRIA STATE PRISON NPI 1437496858


NPI Information

NPI: 1437496858
Provider Name: CALIPATRIA STATE PRISON
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization

CLIA Number: 05D2067383

Address:
985 EVELYN AVE
BRAWLEY, CA
ZIP 92227
Phone: (760) 344-3134
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CALIPATRIA STATE PRISON is a custodial care facility in Brawley, CA. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. CALIPATRIA STATE PRISON NPI is 1437496858. The provider is registered as an organization entity type.

The provider's business location address is:

985 EVELYN AVE
BRAWLEY, CA
ZIP 92227-169
Phone: (760) 344-3134

The provider's authorized official is Maria Elena Correa .
The authorized official title is Srn Ii and has the following contact phone number (760) 348-7000.

The CLIA number assigned to this NPI record is 05D2067383 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2013 and was last updated on 1/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311Z00000XCustodial Care Facility511316CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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