Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Active
Organization
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Active
Parent organization
CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION
Other names
CCHCS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION
Authorized official
PIERRE CAESARE SAUCIER JAMES (STAFF SERVICES MANAGER I)
(510) 780-6997
Entity
Organization
Contact information
Practice address
8280 LONG LEAF DRIVE, D2-406, ELK GROVE, CA 95758
(916) 691-5749
Mailing address
8280 LONG LEAF DRIVE, D3-731, ELK GROVE, CA 95758
(916) 691-9913
(916) 691-3442
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
12/04/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up