| Organization Name: | CENTRAL CA WOMEN'S FACILITY |
| NPI Number: | 1508064981 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KUMARI IYER (CMO) |
| Mailing Address: | 23370 Road 22 Chowchilla |
| State: | CA US |
| Postal Code: | 936101501 |
| Phone Number: | 5596655531 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2400X |
| License Number: | 403433 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Prison Health |
| Taxonomy Definition: | |