National Provider Identifier Database

FEDERAL BUREAU PRISONS FCC PETERSBURG
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

FEDERAL BUREAU PRISONS, FCC PETERSBURG
1060 RIVER RD
PETERSBURG, VA23801-1398
Phone: 804-504-7200
Fax: 804-504-7225
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for FEDERAL BUREAU PRISONS, FCC PETERSBURG

NPI Number 1700154978
Legal business name
LBN
FEDERAL BUREAU PRISONS, FCC PETERSBURG
Authorized official ABDELOUAHAB BENMANSOUR - (HSA)
Entity Organization
Organization subpart No
Enumeration date 12/02/2011
Last updated 04/22/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: MD052885L

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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