FCI TALLADEGA NPI 1033719729

NPI Information

NPI: 1033719729
Provider Name: FCI TALLADEGA
Classification: Clinic/Center - 261QP2400X
Entity Type: Organization

Specialization: Prison Health

CLIA Number: 01D0704439

Address:
565 E. RENFROE ROAD
TELLADEGA, AL
ZIP 35160
Phone: (256) 315-4127
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FCI TALLADEGA is a prison health clinic center in Telladega, AL. FCI TALLADEGA NPI is 1033719729. The provider is registered as an organization entity type.

The provider's business location address is:

565 E. RENFROE ROAD
TELLADEGA, AL
ZIP 35160
Phone: (256) 315-4127
Fax: (256) 315-4390

The provider's authorized official is Casey Delane Sumner .
The authorized official title is Chief Pharmacist and has the following contact phone number (256) 315-4127.

The CLIA number assigned to this NPI record is 01D0704439 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2020 and was last updated on 10/30/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2400X	Clinic/Center	Prison Health			Yes

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: 11/14/2023

NPI Synchronization or Removal

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