Organization
FEDERAL CORRECTIONAL INSTITUTION DUBLIN, CALIFORNIA
Active
Parent organization
FEDERAL CORRECTION INSTITUTION DUBLIN,CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
FEDERAL CORRECTION INSTITUTION DUBLIN,CALIFORNIA
Authorized official
MRS. LUISA MERCEDES ABARCA-BASILE FMG (HEALTH SERVICES ADMINISTRATOR)
(925) 833-7500
Entity
Organization
Contact information
Practice address
5701 8TH STREET, DUBLIN, CA 94568
(925) 833-7500
(925) 833-7595
Mailing address
5701 8ST, FEDERAL CORRECTIONAL , DUBLIN,CA, DUBLIN, CA 94568
(925) 833-7500
(925) 833-7595
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
33616
MN
302F00000X
Exclusive Provider Organization
A41553
CA
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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