CHUCKAWALA VALLWY STATE PRISON NPI 1356701494

NPI Information

  • NPI: 1356701494
  • Provider Name: CHUCKAWALA VALLWY STATE PRISON
  • Classification: Clinic/Center - 261QP2400X
  • Specialization: Prison Health
  • Entity Type: Organization
  • Address: 19025 WILEYS WELL RD
    BLYTHE, CA
    ZIP 92225
  • Phone: (760) 922-5300

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NPI Details

CHUCKAWALA VALLWY STATE PRISON is a prison health clinic center in Blythe, CA. CHUCKAWALA VALLWY STATE PRISON NPI is 1356701494. The provider is registered as an organization entity type.

The provider's business location address is:

19025 WILEYS WELL RD
BLYTHE, CA
ZIP 92225-287
Phone: (760) 922-5300

The provider's authorized official is Michael Lee .
The authorized official title is Cme and has the following contact phone number (760) 922-5300.

The enumeration date for this NPI number is 3/2/2016 and was last updated on 3/2/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2400XClinic/CenterPrison Health63848CALIFORNIAYes

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: 3/30/2025

NPI Synchronization or Removal

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