NPIMap

Organization Active NPI

Federal Correctional Insitution

  • Health Service Clinic/Center
  • Manchester, KY
National Provider Identifier
1720459282
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FEDERAL CORRECTIONAL INSITUTION
Practice address
805 Fox Hollow Rd
Manchester, KY 40962-7923
Phone
(606) 598-1900
Fax
(606) 599-4196
NPI assigned
Oct 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Angel Wilson, HSA
Title
Health Services Administrator
Phone
(606) 598-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

805 Fox Hollow Rd
Manchester, KY 40962-7923

Mailing address

805 Fox Hollow Rd
Manchester, KY 40962-7923
Phone (606) 598-1900

National Provider Directory

National Provider Directory
Tax ID family
Federal Correctional Institution Ashland49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Locations

805 Fox Hollow Rd
Manchester, KY 40962
Phone (606) 598-1900

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1720459282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 FOX HOLLOW RD",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409627923",
            "telephone_number": "606-598-1900",
            "fax_number": "606-599-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FOX HOLLOW RD",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409627923",
            "telephone_number": "606-598-1900",
            "fax_number": "606-599-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL CORRECTIONAL INSITUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "HEALTH SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "606-598-1900",
        "authorized_official_credential": "HSA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.