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NPI Code Detail

MEDICARE: SACRAMENTO JAIL

MEDICARE: SACRAMENTO JAIL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2400XPrison Health Clinic/CenterLI 10571CA

General Provider Information

NPI Number : 1326053265
Entity Type Code : Organization
Provider Name (Legal Business Name) : SACRAMENTO JAIL
Provider Business Mailing Address
First Line : 651 I ST.
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814
Country : US
Telephone Number : 916-874-5222
Fax Number : 916-874-6904
Provider Business Practice Location Address
First Line : 651 I ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814-2400
Country : US
Telephone Number : 916-874-5222
Fax Number : 916-874-6904
Authorized Official
Title or Position : CLINICAL SOCIAL WORKER
Name : MR. MICHAEL B SINGER
Credential : LCSW
Telephone Number : 916-874-5222
Provider Enumeration Date : 07/29/2006
Last Update Date : 08/22/2020

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1801127246 — ALYSSA MARIE DHILLON LCSW
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1578891321 — DYLAN SCHMIDT LCSW
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1245245182 — SANDRA ANN VENUS R.N.
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Directions to “SACRAMENTO JAIL ” Practice Location

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