Federal Bureau Prisons, Fcc Petersburg
NPI #1700154978 in Petersburg, Virginia
Provider Information
- NPI Number
- 1700154978
- Entity Type
- Organization
- Organization Name
- Federal Bureau Prisons, Fcc Petersburg
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Dec 2, 2011
- Last Updated
- Apr 22, 2022
Practice Location
- Address
- 1060 RIVER RD
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23801-1398
- Phone
- (804) 504-7200
Authorized Official
- Name
- MRS. ABDELOUAHAB BENMANSOUR, RN
- Title
- HSA
- Phone
- (804) 504-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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