FEDERAL CORRECTIONAL INSTITUTION is a public health and federal clinic center in Phoenix, AZ. FEDERAL CORRECTIONAL INSTITUTION NPI is 1205193893. The provider is registered as an organization entity type.
The provider's business location address is:
37900 N 45TH AVE DEPT 1680
PHOENIX, AZ
ZIP 85086-008
Phone: (623) 465-5797
Fax: (623) 465-5116
The provider's authorized official is Ricardo Willis .
The authorized official title is Health Services Administrator and has the following contact phone number (623) 465-5163.
The CLIA number assigned to this NPI record is 03D0712260 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/19/2012 and was last updated on 4/19/2012.