NPIMap

Organization Active NPI

Fci Talladega

  • Prison Health Clinic/Center
  • Telladega, AL
National Provider Identifier
1033719729
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
FCI TALLADEGA
Practice address
565 E. Renfroe Road
Telladega, AL 35160
Phone
(256) 315-4127
Fax
(256) 315-4390
NPI assigned
Oct 30, 2020
Organization subpart
Yes
Parent organization
FEDERAL BUREAU OF PRISONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Dr. Casey Delane Sumner, PHARM.D.
Title
Chief Pharmacist
Phone
(256) 315-4127

Specialties & licenses 1

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

Addresses

Primary practice location

565 E. Renfroe Road
Telladega, AL 35160

Mailing address

565 E. Renfroe Road
Telladega, AL 35160
Phone (256) 315-4127

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

Locations

565 E Renfroe Rd
Talladega, AL 35160
Phone (256) 315-4127

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1033719729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 E. RENFROE ROAD",
            "city": "TELLADEGA",
            "state": "AL",
            "postal_code": "35160",
            "telephone_number": "256-315-4127",
            "fax_number": "256-315-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 E. RENFROE ROAD",
            "city": "TELLADEGA",
            "state": "AL",
            "postal_code": "35160",
            "telephone_number": "256-315-4127",
            "fax_number": "256-315-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCI TALLADEGA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FEDERAL BUREAU OF PRISONS",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "SUMNER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "DELANE",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "256-315-4127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.