FEDERAL CORRECTIONAL INS ESTILL (NPI# 1174867857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174867857 |
| Entity Type | Organization |
| Organization Name | FEDERAL CORRECTIONAL INS ESTILL |
| Practice Address |
100 Prison Road Estill SC 29918-0699 |
| Mailing Address |
Po Box 699 100 Prison Rd Estill SC 29918-0699 |
| Practice Telephone | 8036254607 |
| Practice Fax Number | 8036255603 |
| Mailing Telephone | 8036254607 |
| Mailing Fax Number | 8036255603 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |
| Authorized Official Name | DR. EDWARD REED (STAFF PHYSICIAN) |
| Authorized Official Telephone | 8036254607 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2400X |
Clinic/Center Specialization: Prison Health |
Ambulatory Health Care Facilities |
| Street Address |
100 PRISON ROAD |
| City | ESTILL |
| State | SC |
| Zip Code | 29918-0699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768833 | Tamala Booker Middleton | Nurse Practitioner | 100 Prison Road, Estill, SC 29918 | 2019-09-05 |
| 1932648227 | Amanda Howard | Psychologist | 100 Prison Road, Estill, SC 29918 | 2017-02-20 |
| 1891989299 | Lawrence Samuel Williams Jr. | Dentist | 100 Prison Road, Fed Corr Inst Estill, Estill, SC 29918-0699 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689001034 | Earl B Hartzog Dmd Pa | Dentist | 123 Catherine Avenue North, Estill, SC 29918 | 2013-10-01 |
| 1790900249 | Lesters Diabetic Shoe Serv | Durable Medical Equipment & Medical Supplies | 41 Blair Circle, Estill, SC 29918 | 2007-04-17 |
| 1821182452 | Michelle Marie Mckenzie | Optometrist | 2010 Browning Gate Road, Estill, SC 29918 | 2006-10-03 |
| 1538192349 | Hampton County School District 2 | Local Education Agency (LEA) | 319 E 4th Street, Estill, SC 29918 | 2006-07-08 |
| 1730512005 | Laveda Yolanda Odom | Pharmacist | 100 Prison Rd, Estill, SC 29918 | 2013-08-09 |
| 1285844761 | Zoltan Robert Vendal | Clinic/Center | 100 Prison Rd., Estill, SC 29918 | 2007-05-23 |
| 1124476320 | Latoya Monique Williams | Pharmacist | 136 Martin Luther King Jr. Blvd N, Estill, SC 29918-0335 | 2016-05-27 |
| 1811037633 | David Leroy Barnes Sr. | Dentist | 144 Catherine Street North, Estill, SC 29918-0547 | 2007-02-08 |
| 1295857456 | Hannas Discount Pharmacy | Durable Medical Equipment & Medical Supplies | 26 East Railroad Ave, Estill, SC 29918-1088 | 2007-04-06 |
| 1548380017 | Chris Michael Hanna Sr. | Pharmacist | 26 E Railroad Ave, Estill, SC 29918-1088 | 2007-03-30 |
| Find all providers in zip 29918 | ||||
| Taxonomy Code | 261QP2400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Prison Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285844761 | Zoltan Robert Vendal | Clinic/Center | 100 Prison Rd., Estill, SC 29918 | 2007-05-23 |
Please comment or provide details below to improve the information on FEDERAL CORRECTIONAL INS ESTILL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.