| Organization Name: | CALIFORNIA DEPARTMENT OF CORRECTIONS &REHABILITATION |
| NPI Number: | 1073710398 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARBARA L. WOODWARD (NURSE PRACTITIONER) |
| Mailing Address: | 21633 Avenue 24 Chowchilla |
| State: | CA US |
| Postal Code: | 936100099 |
| Phone Number: | 5596656100 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 02/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | RN#452501 N.P.#8290 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |