NPIMap

Organization Active NPI

Phoenix Federal Correctional Institute

  • Health Service Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1023429164
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PHOENIX FEDERAL CORRECTIONAL INSTITUTE
Practice address
37900 N 45TH Ave
Phoenix, AZ 85086-7008
Phone
(623) 465-9757
Fax
(623) 465-5116
NPI assigned
May 12, 2014
Last updated
May 12, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
FEDERAL BUREAU OF PRISONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Mrs. Teri Gregory
Title
Health Services Administrator
Phone
(623) 465-9757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

37900 N 45TH Ave
Phoenix, AZ 85086-7008

Mailing address

37900 N 45TH Ave
Phoenix, AZ 85086-7008
Phone (623) 465-9757

National Provider Directory

National Provider Directory
Tax ID family
FCC Terre Haute7 organizations share this tax ID, including this one
Part of
Fci Texarkana

Other organizations with this tax ID 6

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

Locations

37900 N 45th Ave
Phoenix, AZ 85086
Phone (623) 465-9757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1023429164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37900 N 45TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850867008",
            "telephone_number": "623-465-9757",
            "fax_number": "623-465-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37900 N 45TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850867008",
            "telephone_number": "623-465-9757",
            "fax_number": "623-465-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX FEDERAL CORRECTIONAL INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FEDERAL BUREAU OF PRISONS",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "HEALTH SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "623-465-9757",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.