California Department of Corrections and Rehabilitation (CDCR)/ RFP Number: SD16-00392 California Correctional Health Care Services (CCHCS) Exhibit H List of Participating CDCR Institutions and Division of Juvenile Justice (DJJ) Facilities

MEDICAL REGISTRY SERVICES NETWORK MANAGEMENT PROVIDER

LIST OF PARTICIPATING CDCR INSTITUTIONS

Institution Institution (ASP) California Rehabilitation Center (CRC) 1 Kings Way 5th Street & Western Avenal, CA 93204 Norco, CA 92860 (559) 386-0587; Fax (559) 386-7461 (951) 737-2683; Fax: (909) 736-1488

California City Correctional Center (CAC) California State Prison–Corcoran (COR) 22844 Virginia Boulevard 4001 King Avenue California City, CA 93505 Corcoran, CA 93212-8309 (760) 373-1764; (760) 373-3529 (559) 992-8800 x7992; Fax (559) 992-6196

California Correctional Center (CCC) 711-045 Center Road California State Prison, Susanville, CA 96127 Los Angeles County (LAC) th (530) 257-2181 x4167; Fax (530) 252-3073 44750 60 Street West Lancaster, CA 93536-7620 (661) 729-2000 x7046; Fax: (661) 729-6909 California Correctional Institution (CCI) 24900 Highway 202 California State Prison – Sacramento (SAC) Tehachapi, CA 93561 Prison Road (661) 822-4402; Fax (661) 823-5043 Represa, CA 95671 (916) 985-8610; Fax (916) 294-3135 California Health Care Facility – Stockton (CHCF) California State Prison - San Quentin (SQ) 7707 South Austin Road San Quentin, CA 94964 Stockton, CA 95215 (415) 454-1460; Fax (415) 455-5091 (209) 467-2500; Fax (209) 467-4677 California Institution for Men (CIM) California State Prison – Solano (SOL) 14901 South Central Avenue 2100 Peabody Road Chino, CA 91710 Vacaville, CA 95696 (909) 597-1821; Fax (909) 606-7009 (707) 451-0182 x 5718; Fax (707) 454-3202

California Institution for Women (CIW) California Substance Abuse Treatment 16756 Chino-Corona Road Facility and State Prison at Corcoran (SATF) Corona, CA 92880 900 Quebec Avenue (909) 597-1771; Fax (909) 393-8061 Corcoran, CA 93212 (559) 992-7100 x5434; Fax (559) 992-7104 California Medical Facility (CMF) 1600 California Drive (CAL) Vacaville, CA 95696 7018 Blair Road (707) 448-6841; Fax (707) 453-7027 Calipatria, CA 92233 (760) 348-7000; Fax (760) 348-7169 California Men’s Colony (CMC) Highway 1 Centinela State Prison (CEN) San Luis Obispo, CA 93409-8101 2302 Brown Road (805) 547-7900; Fax (805) 547-7513 Imperial, CA 92251 (760) 337-7900 x7080: Fax (760) 337-7665

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CDCR/CCHCS RFP Number: SD16-00392 List of Participating CDCR Institutions and DJJ Facilities Exhibit H

Institution Institution Central Fill Pharmacy (MCSP) 8364 Rovana Circle 4001 Highway 104 Sacramento, CA 95828 Ione, CA 95640 (916) 379-1602; Fax (916) 379-1690 (209) 274-4911; Fax (209) 274-4861

Central California Women’s Facility (CCWF) (NKSP) 23370 Road 22 2737 West Cecil Avenue Chowchilla, CA 93610 Delano, CA 93215 (559) 665-5531 x7714; Fax (559) 665-8145 (661) 721-2345; Fax (661) 721-2913

Chuckawalla (CVSP) (PBSP) 19025 Wileys Well Road 5905 Lake Earl Drive Blythe, CA 92225 Crescent City, CA 95531 (760) 922-5300 x5225; Fax (760) 922-9780 (707) 465-1000; Fax (707) 465-9107

Correctional Training Facility (CTF) Pleasant Valley State Prison (PVSP) Highway 101N 24863 West Jayne Avenue Soledad, CA 93960 Coalinga, CA 93210 (831) 678-3951; Fax: (831) 678-5907 (559) 935-4900 x5433; Fax (559) 935-7081

Deuel Vocational Institution (DVI) Richard J. Donovan Correctional Facility 23500 Kasson Road at Rock Mountain (RJD) Tracy, CA 95376 480 Alta Road (209) 835-4141 x5420; Fax (209) 830-3808 San Diego, CA 92179 (619) 661-6500; Fax (619) 661-6253 (FSP) 300 Prison Road Salinas Valley State Prison (SVSP) Represa, CA 95671 31625 Highway 101 (916) 985-2561 x4676; Fax (916) 351-3037 Soledad, CA 93960 (831) 678-5500; Fax (831) 678-5503

High Desert State Prison (HDSP) 475-750 Rice Canyon Road Sierra Conservation Center (SCC) Susanville, CA 96127 5100 O’ Byrnes Ferry Road (530) 251-5100 x5456; Fax (530) 251-5063 Jamestown, CA 95327 (209) 984-5291 x5536; Fax (209) 984-0151

Ironwood State Prison (ISP) Valley State Prison (VSP) 19005 Wileys Well Road 21633 Avenue 24 Blythe, CA 92225 Chowchilla, CA 93610 (760) 921-3000; Fax (760) 921-4395 (559) 665-6100 x 6526; Fax (559) 665-8947

Kern Valley State Prison (KVSP) Reception Center (WSP) 3000 West Cecil Avenue 701 Scofield Avenue Delano, CA 93216-6000 Wasco, CA 93280 (661) 721-6300 x 5933; Fax (661) 721-6377 (661) 758-8400 x5975; Fax (661) 758-7088

Page 2 of 5 CDCR/CCHCS RFP Number: SD16-00392 List of Participating CDCR Institutions and DJJ Facilities Exhibit H

LIST OF PARTICIPATING DJJ FACILITIES

Facility Northern California Youth Correctional Center (NCYCC) (N.A. Chaderjian Youth Correctional Facility) (O.H. Close Youth Correctional Facility) 7650 South Newcastle Road P.O. Box 213014 Stockton, CA 95215 (209) 944-6400

Ventura Youth Correctional Facility (VYCF) 3100 Wright Road Camarillo, CA 93010 (805) 485-7951

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CDCR/CCHCS RFP Number: SD16-00392 List of Participating CDCR Institutions and DJJ Facilities Exhibit H

LIST OF TELEMEDICINE SERVICE LOCATIONS

Telemedicine Service Locations Office of Telemedicine Services (Elk Grove) 9250 Laguna Springs Drive, Suite 205 Elk Grove, CA 95758 (916) 691-9827 Northern Region I (Elk Grove) 9266 Laguna Springs Drive, Bldg F Elk Grove, CA 95758 North Central Region II (Fresno) 1320 E. Shaw, Suite 150 Fresno, CA 93710 South Central Region III (Bakersfield) 5509 Young Street Bakersfield, CA 93311 Southern Region IV (Rancho Cucamonga) 10608 N. Trademark Pkwy. #101 Rancho Cucamonga, CA 91730

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CDCR/CCHCS RFP Number: SD16-00392 List of Participating CDCR Institutions and DJJ Facilities Exhibit H

OTHER LOCATIONS

Clinical Laboratory Technologist (Elk Grove) Headquarters 9266 Laguna Springs Drive Elk Grove, CA 95758

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