1841521770 NPI number — FEDERAL CORRECTIONAL INSTITUTION DUBLIN, CALIFORNIA

Table of content: (NPI 1841521770)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841521770 NPI number — FEDERAL CORRECTIONAL INSTITUTION DUBLIN, CALIFORNIA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FEDERAL CORRECTIONAL INSTITUTION DUBLIN, CALIFORNIA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841521770
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/15/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5701 8ST
Provider Second Line Business Mailing Address:
FEDERAL CORRECTIONAL , DUBLIN,CA
Provider Business Mailing Address City Name:
DUBLIN
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94568
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-833-7500
Provider Business Mailing Address Fax Number:
925-833-7595

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5701 8TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUBLIN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94568
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-833-7500
Provider Business Practice Location Address Fax Number:
925-833-7595
Provider Enumeration Date:
01/15/2010

Additional Information

Authorized Official

Authorized Official Last Name:
ABARCA-BASILE
Authorized Official First Name:
LUISA
Authorized Official Middle Name:
MERCEDES
Authorized Official Title or Position:
HEALTH SERVICES ADMINISTRATOR
Authorized Official Telephone Number:
925-833-7500

Provider Taxonomy Codes

  • Taxonomy code: 302F00000X , with the licence number:  A41553 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP2400X , with the licence number: 33616 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com