Corrections Corp. of America
Organization Active NPI Prison Health Clinic/Center · Estancia, NM
NPI 1487832986 · NPPES record last updated Feb 6, 2008
Key facts
- NPI
- 1487832986
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prison Health Clinic/Center 261QP2400X
- License
- R60905 (NM)
- Legal business name
- CORRECTIONS CORP. OF AMERICA
- Practice address
- 209 East Allen Ayers
Estancia, NM 87016-0837 - Phone
- (505) 384-2711
- Fax
- (505) 384-0240
- NPI assigned
- Feb 6, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Karen Elizabeth Kirst-Millspaugh, RN,C.,APN
- Title
- Adult Nurse Practitioner
- Phone
- (505) 466-4174
National Provider Directory
Locations
10 Burton Hills Blvd
Nashville, TN 37215
Phone (615) 263-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | R60905 | NM | Yes |
Addresses
Primary practice location
209 East Allen Ayers
Estancia, NM 87016-0837
Mailing address
10 Burton Hills Blvd
Nashville, TN 37215-6105
Phone (505) 384-2711
Other providers in Estancia, NM
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- William F Bobbe
- Charles F Brady
- Melonie Suzzane Chavez
- Alyson Deakyne
- Enchantment Legacy Inc.
- Enchantment Legacy, Inc.
- Ellen Espinosa
- Oliver Matthew Gallegos
All providers in Estancia, NM · Prison Health Clinic/Center in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2008. 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.