Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, Federal |
261QP0904X |
| NPI # | 1942438361 |
| LBN Legal business name | FEDERAL CORRECTIONAL INSTUTION ASHLAND |
| Authorized official | AMANDA WAUGAMAN - (HEALTH SERVICES ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/24/2009 |
| Last updated | 06/24/2009 - About 17 years ago |
| Identifiers | n/a |
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