DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JAIL PSYCH SERVICES - RCCC

MEDICARE: JAIL PSYCH SERVICES - RCCC
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/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18413OTHERCACOUNTY MENTAL HEALTH #

General Provider Information

NPI Number : 1598847519
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAIL PSYCH SERVICES - RCCC
Provider Business Mailing Address
First Line : 12450 BRUCEVILLE RD
Second Line :
City : ELK GROVE
State : CA
Zip : 95757-9784
Country : US
Telephone Number : 916-874-5222
Fax Number : 916-874-8183
Provider Business Practice Location Address
First Line : 12450 BRUCEVILLE RD
Second Line :
City : ELK GROVE
State : CA
Zip : 95757-9784
Country : US
Telephone Number : 916-874-5222
Fax Number : 916-874-8183
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MR. PAUL E HENDRICKS
Credential : RN
Telephone Number : 916-874-5222
Provider Enumeration Date : 10/19/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1639801079 — MANREET KAUR GREWAL
Practice Location Address:
12500 BRUCEVILLE RD
ELK GROVE, CA
95757-9784
Practice Phone: 916-874-1987
Practice Fax:
1730275082 — MARK LEE HUFFMAN RN
Practice Location Address:
12500 BRUCEVILLE RD
ELK GROVE, CA
95757-9784
Practice Phone: 916-874-1866
Practice Fax: 916-874-1926
1780770800 — NANCY PHELPS WHITE RN,CNS
Practice Location Address:
12500 BRUCEVILLE RD
ELK GROVE, CA
95757-9784
Practice Phone: 916-874-1866
Practice Fax: 916-874-1926
1518053461 — STEVE GLENN CORTEZ LCSW
Practice Location Address:
12500 BRUCEVILLE RD
ELK GROVE, CA
95757-9784
Practice Phone: 916-684-1866
Practice Fax:
1336236777 — JUDITH L GOLDEN LCSW
Practice Location Address:
12500 BRUCEVILLE RD
ELK GROVE, CA
95757-9784
Practice Phone: 916-874-1866
Practice Fax: 916-874-1926
1447410774 — MS. GRETEL ERICA PATE RN
Practice Location Address:
12500 BRUCEVILLE RD
ELK GROVE, CA
95757-9784
Practice Phone: 916-874-5222
Practice Fax:

Directions to “JAIL PSYCH SERVICES - RCCC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.