Provider Type Icon

FEDERAL PRISON CAMP DULUTH NPI 1982971271


NPI Information

NPI: 1982971271
Provider Name: FEDERAL PRISON CAMP DULUTH

Other Name: BUREAU OF PRISONS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 24D0705269

Address:
4464 RALSTON DR
DULUTH, MN
ZIP 55811
Phone: (218) 249-7452
Get Directions

FEDERAL PRISON CAMP DULUTH is a community behavioral health in Duluth, MN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FEDERAL PRISON CAMP DULUTH NPI is 1982971271. The provider is registered as an organization entity type.
The provider Other Name Is Bureau Of Prisons.

The provider's business location address is:

4464 RALSTON DR
DULUTH, MN
ZIP 55811-519
Phone: (218) 249-7452

The provider's authorized official is Traci Sue Amundson .
The authorized official title is Chief Psychologist and has the following contact phone number (218) 249-7452.

The CLIA number assigned to this NPI record is 24D0705269 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 11/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.