LANCASTER STATE PRISON (NPI# 1679916985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679916985 |
| Entity Type | Organization |
| Organization Name | LANCASTER STATE PRISON |
| Practice Address |
4133 W Avenue J4 44750 60th Street West Lancaster CA 93536-6825 |
| Practice Telephone | 6617292000 |
| Mailing Telephone | 6617292000 |
| Mailing Fax Number | 6617296926 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |
| Authorized Official Name | DR. CHRISTOPHER CORNELL (CHIEF OF MENTAL HEALTH) |
| Authorized Official Telephone | 6617292000 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | Y |
| Parent Organization Name | CALIFORIA DEPARTMENT OF CORRECTIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | PSY14366 | CA | Agencies |
| Street Address |
4133 W AVENUE J4 44750 60TH STREET WEST |
| City | LANCASTER |
| State | CA |
| Zip Code | 93536-6825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921353 | Icgrit, LLC | Durable Medical Equipment & Medical Supplies | 42304 Columbia Court, Lancaster, CA 93536 | 2020-08-03 |
| 1346891827 | Rebecca Rozenberg | Nurse Practitioner | 7060 Hemlock Avenue, Lancaster, CA 93536 | 2019-09-25 |
| 1972078053 | Cherokee Hill | Social Worker | 42055 50th St. W, Quartz Hiu, CA 93536 | 2018-10-04 |
| 1932600954 | Alderbrook, Inc. | Skilled Nursing Facility | 2540 W Avenue K, Lancaster, CA 93536 | 2018-02-25 |
| 1679095244 | Maria Celeste Montebello | Registered Nurse | 335 E. Avenue I, Lancaster, CA 93536 | 2017-07-14 |
| 1073035994 | Letecia Bell | Registered Nurse | 6637 Lime Road, Lancaster, CA 93536 | 2017-07-12 |
| 1366890089 | Omolola Omishore | Physical Therapist | 43415 Hampton St, Quartz Hill, CA 93536 | 2016-06-03 |
| 1073976528 | May Chong Finley | Registered Nurse | 7027 W Avenue L6, Lancaster, CA 93536 | 2016-04-01 |
| 1043689904 | Til Lp | Skilled Nursing Facility | 2639 West Ave K4, Lancaster, CA 93536 | 2015-09-22 |
| 1497140222 | Oak Fence Senior Living, LLC | Skilled Nursing Facility | 6067 West Oak Fence Lane, Lancaster, CA 93536 | 2015-03-30 |
| Find all providers in zip 93536 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538211107 | Catholic Charities of The Diocese of Harrisburg Pa Inc | Public Health or Welfare | 417 Poplar St, Lancaster, PA 17603-5232 | 2007-01-17 |
| 1073672044 | County of Grant | Public Health or Welfare | 111 S Jefferson St Fl 2, Lancaster, WI 53813-1672 | 2006-12-06 |
| 1346322369 | South Carolina Dhec | Public Health or Welfare | 1833 Pageland Highway, Lancaster, SC 29720 | 2006-10-19 |
| 1871695023 | Lancaster County Dental Clinic | Public Health or Welfare | 9049 Mary Ball Road, Lancaster, VA 22503 | 2006-09-01 |
| 1508829128 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 9049 Mary Ball Rd, Lancaster, VA 22503-0158 | 2006-04-07 |
| 1053396903 | Garrard County Health Dept | Public Health or Welfare | 89 Farra Dr, Lancaster, KY 40444-9598 | 2005-12-14 |
| 1114458379 | Schuyler County Health Center | Public Health or Welfare | 213 S Green St, Lancaster, MO 63548-1097 | 2017-03-21 |
| 1104129055 | Fairfield Comminity Health Center | Public Health or Welfare | 216 Trace Dr, Lancaster, OH 43130-4151 | 2010-12-15 |
| 1922301878 | Fairfield Community Health Center | Public Health or Welfare | 216 Trace Dr, Lancaster, OH 43130-4151 | 2010-12-15 |
| 1265635718 | Fairfield County Combined General Health District | Public Health or Welfare | 1155 E Main St, Lancaster, OH 43130-4056 | 2007-06-11 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.