FEDERAL PRISON CAMP; NPI #1992061188

Contact Information

FEDERAL PRISON CAMP

1100 URSULINE AVE
BRYAN, TX 77803-4951

Phone: 979-823-1879
Fax: 979-821-3315
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prison Health	261QP2400X

Indicates primary specialty

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NPI Profile & details for FEDERAL PRISON CAMP

NPI Number	`1992061188`
LBN Legal business name	FEDERAL PRISON CAMP
Authorized official	KATHLEEN RIVERS - (HEALTH SERVICES ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/02/2012
Last updated	04/02/2012 - About 14 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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