NPIMap

Organization Active NPI

FCC Coleman

  • Prison Health Clinic/Center
  • Coleman, FL
National Provider Identifier
1013146877
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
FCC COLEMAN
Practice address
846 NE 54TH Terrace
Coleman, FL 33521-1029
Phone
(352) 689-3018
NPI assigned
Jul 14, 2009
Organization subpart
Yes
Parent organization
BOPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ivan Negron, M.D.NPI 1295771855
Title
Complex Clinical Director
Phone
(352) 689-3018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

846 NE 54TH Terrace
Coleman, FL 33521-1029

Mailing address

PO Box 1029
Coleman, FL 33521-1029
Phone (352) 689-3267

National Provider Directory

National Provider Directory
Tax ID family
Federal Correctional Institution Ashland49 organizations share this tax ID, including this one
Part of
Federal Correctional Institution Ashland

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1013146877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1029",
            "city": "COLEMAN",
            "state": "FL",
            "postal_code": "335211029",
            "telephone_number": "352-689-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 NE 54TH TERRACE",
            "city": "COLEMAN",
            "state": "FL",
            "postal_code": "335211029",
            "telephone_number": "352-689-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCC COLEMAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOP",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "NEGRON",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "COMPLEX CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "352-689-3018",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coleman, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.