Federal Bureau of Prisons
Organization Active NPI Prison Health Clinic/Center · Forrest City, AR
NPI 1306172127 · NPPES record last updated Oct 29, 2009
Key facts
- NPI
- 1306172127
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prison Health Clinic/Center 261QP2400X
- Legal business name
- FEDERAL BUREAU OF PRISONS
- Practice address
- 1301 Dale Bumpers Road
Forrest City, AR 72335-2696 - Phone
- (870) 630-6000
- Fax
- (870) 494-4482
- NPI assigned
- Oct 29, 2009
- Organization subpart
- No
Authorized official
- Name
- Niharika S. Shah
- Title
- Health Services Administrator
- Phone
- (870) 630-6000
Corporate family (same tax ID) 48
Practitioners 4
-
Austin J Carlson, PHARMD
-
Meredith Anne Williams, M.D.
National Provider Directory
- Tax ID family
- Federal Correctional Institution Ashland
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | Yes |
Addresses
Primary practice location
1301 Dale Bumpers Road
Forrest City, AR 72335-2696
Mailing address
PO Box 7000
Forrest City, AR 72336-7000
Phone (870) 630-6000
Other providers in Forrest City, AR
- Christa Evans
- Edica Evans
- Evergreene Properties of North Carolina, LLC
- Evergreene Properties of North Carolina,LLC
- Family Counseling & Diagnostic Clinic
- Holly Fisher
- Forrest City Arkansas Hospital Company LLC
- Forrest City Arkansas Hospital Company LLC
- Forrest City Arkansas Hospital Company LLC
- Forrest City Arkansas Hospital Company, LLC
All providers in Forrest City, AR · Prison Health Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.