Federal Correctional Institution

Primary specialty

Federal Public Health Clinic/CenterTaxonomy code 261QP0904X

Legal business name

FEDERAL CORRECTIONAL INSTITUTION

Practice address

37900 N 45TH Ave Dept 1680
Phoenix, AZ 85086-7008

Phone

(623) 465-5797

Fax

(623) 465-5116

NPI assigned

Apr 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Ricardo Willis, ETC

Title

Health Services Administrator

Phone

(623) 465-5163

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• William Paul Butler, RPH

  • Pharmacist
  • Phoenix, AZ
  • NPI 1447371406
  NPD (past)

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1205193893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37900 N 45TH AVE DEPT 1680",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850867008",
            "telephone_number": "623-465-5797",
            "fax_number": "623-465-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37900 N 45TH AVE DEPT 1680",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850867008",
            "telephone_number": "623-465-5797",
            "fax_number": "623-465-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL CORRECTIONAL INSTITUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "HEALTH SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "623-465-5163",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheridan Featherstone
• Christopher M. Fecarotta, MD
• Brittany Ashley Lemus Fechner, LBA
• Morgan Elise Fechtel, LPC
• Scot Gerald Fechtel, MD
• Diana Federico
• Sandra Brigitte Fedie, MSN, RN, FNP, WCC
• Melissa Fedt, RD
• John Edward Fedyna, R.PH
• Daniel Colin Fedyszyn, DDS

• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.