NPIMap

Organization Active NPI

State of Arizona Department of Corrections

  • Prison Health Clinic/Center
  • Florence, AZ
National Provider Identifier
1255566477
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
License
3816 Issued in AZ
Legal business name
STATE OF ARIZONA DEPARTMENT OF CORRECTIONS
Practice address
1305 E Butte Ave
Florence, AZ 85232
Phone
(520) 868-4011
Fax
(602) 258-7886
NPI assigned
May 18, 2009
Last updated
May 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Lindsey R Chitwood, MASTERS
Title
Physician Assistant
Phone
(520) 868-4011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X 3816 AZ Primary

Addresses

Primary practice location

1305 E Butte Ave
Florence, AZ 85232

Mailing address

3846 E Palmer St
Gilbert, AZ 85298-8855

National Provider Directory

National Provider Directory

Locations

1305 E Butte Ave
Florence, AZ 85132
Phone (520) 868-4011

Practitioners & affiliated clinicians

Practitioners 4

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": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1255566477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3846 E PALMER ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E BUTTE AVE",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "85232",
            "telephone_number": "520-868-4011",
            "fax_number": "602-258-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARIZONA DEPARTMENT OF CORRECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "CHITWOOD",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "520-868-4011",
        "authorized_official_credential": "MASTERS"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "AZ",
            "license": "3816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.