Prison Health Services

Primary specialty

Prison Health Clinic/CenterTaxonomy code 261QP2400X

License

261QP2400X Issued in TN

Legal business name

PRISON HEALTH SERVICES

Practice address

105 Westpark Dr
Suite 200
Brentwood, TN 37027-5319

Phone

(800) 729-0069

Fax

(615) 376-1353

NPI assigned

Oct 31, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Joanna B Garcia

Title

Vice President Provider Operations

Phone

(800) 729-0069

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1093968232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WESTPARK DR",
            "address_2": "SUITE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275319",
            "telephone_number": "800-729-0069",
            "fax_number": "615-376-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WESTPARK DR",
            "address_2": "SUITE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275319",
            "telephone_number": "800-729-0069",
            "fax_number": "615-376-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISON HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE PRESIDENT PROVIDER OPERATIONS",
        "authorized_official_telephone_number": "800-729-0069",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "TN",
            "license": "261QP2400X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093968232",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Care at Puc
• Primary Eyecare Group, P.C.
• Jason Todd Primm, D.D.S.
• Alexander Primo
• Anita H Pringle, LPC-MHSP
• Privia Medical Group Tennessee LLC
• Pro Motion Physical Therapy LLC
• Lori M Proctor, MD
• Prolotherapy Nashville PLLC
• Psychiatric Medical Care, LLC

• Prison Health Clinic/Center in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Prison Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.