Federal Bureau of Prisons
NPI #1306172127 in Forrest City, Arkansas
Provider Information
- NPI Number
- 1306172127
- Entity Type
- Organization
- Organization Name
- Federal Bureau of Prisons
- Primary Specialty
- Clinic/Center - Prison Health
- Enumeration Date
- Oct 29, 2009
- Last Updated
- Oct 29, 2009
Practice Location
- Address
- 1301 DALE BUMPERS ROAD
- City
- Forrest City
- State
- Arkansas
- ZIP Code
- 72335-2696
- Phone
- (870) 630-6000
Authorized Official
- Name
- NIHARIKA S. SHAH
- Title
- HEALTH SERVICES ADMINISTRATOR
- Phone
- (870) 630-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Prison Health — Prison Health |
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