Federal Bureau Prisons, Fcc Petersburg

NPI 1700154978 - Clinic/Center - 261QF0400X

NPI Details
NPI 1700154978
Enumeration Date 12/02/2011
Last Updated 12/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DEBORA M DEBORA
Position HSA
Phone (804) 504-7200
Fax (804) 504-7225
Practice Location
1060 RIVER RD
HOPEWELL VA, 23860-1666, US
Phone (804) 504-7200
Fax (804) 504-7225
Business Location
PO BOX 90026
PETERSBURG VA, 23804-9000, US
Phone (804) 504-7200
Fax (804) 504-7225
Toxanomy
Taxonomy Code 261QF0400X
License State Pennsylvania
License Number MD052885L
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According to our database, Federal Bureau Prisons, Fcc Petersburg NPI is 1700154978, taxonomy code is 261QF0400X and license number is MD052885L, license state is located at Pennsylvania. Federal Bureau Prisons, Fcc Petersburg physically located at 1060 River Rd, Hopewell VA, 23860-1666. NPI Number 1033115704 has the healthcare provider type.

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1700154978 NPI number is provided on an as is basis without warranty of any kind. 1700154978 is maintained by the National Plan & Provider Enumeration System. The contents of Federal Bureau Prisons, Fcc Petersburg are for informational purposes only.