Federal Bureau of Prisons
Organization Active NPI Prison Health Clinic/Center · Edgefield, SC
NPI 1851978225 · NPPES record last updated Mar 24, 2021
Key facts
- NPI
- 1851978225
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prison Health Clinic/Center 261QP2400X
- Legal business name
- FEDERAL BUREAU OF PRISONS
- Practice address
- 501 Gary Hill Road
Edgefield, SC 29824 - Phone
- (803) 637-1500
- NPI assigned
- Mar 24, 2021
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Rose McNeal
- Title
- Chief Pharmacist
- Phone
- (803) 637-1500
Corporate family (same tax ID) 48
Practitioners 4
-
Elizabeth Rose McNeal, PHARMD
-
Patina Sharese Walton-Battle, DNP APRN FNP-C PMHNP
-
Rex Blocker, M.D.
-
Stephen Floyd Sizemore, FNP-BC
National Provider Directory
- Tax ID family
- Federal Correctional Institution Ashland
Locations
501 Gary Hill Rd
Edgefield, SC 29824
Phone (803) 637-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | Yes |
Addresses
Primary practice location
501 Gary Hill Road
Edgefield, SC 29824
Mailing address
501 Gary Hill Road
Edgefield, SC 29824
Phone (803) 637-1500
Other providers in Edgefield, SC
- Edgefield Medical Clinic PA
- Edgefield Medical Clinic, PA
- Corey Eisner
- Winifred Jean Eubanks
- Family Dentistry of Edgefield
- Elizabeth S Gordineer
- Jeffery Reed Gosney
- Halcyon Supply Co., LLC
- Marion Robert Henderson
- Karen Anderson Hickman
All providers in Edgefield, SC · Prison Health Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2021. 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.