FEDERAL BUREAU OF PRISONS (NPI# 1518225127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518225127 |
| Entity Type | Organization |
| Organization Name | FEDERAL BUREAU OF PRISONS |
| Other Organization Name | FEDERAL CORRECTIONAL INSTITUTION, LORETTO |
| Practice Address |
772 Saint Joseph St Loretto PA 15940-7006 |
| Practice Telephone | 8144711579 |
| Practice Fax Number | 8144711596 |
| Mailing Telephone | 8144711579 |
| Mailing Fax Number | 8144711596 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |
| Authorized Official Name | MR. JEFFREY G. TRIMBATH (HEALTH SERVICES ADMINISTRATOR/PA-C) |
| Authorized Official Telephone | 8144711579 |
| Authorized Official Credential | PA-C/MPAS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Federal Correctional Institution, Loretto | Other Name - Individual/Organization |
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|---|---|---|---|---|
| 1881065662 | Federal Bureau of Prisons | Family Medicine | 2801 Falcon Rdg, Clermont, FL 34711-5892 | 2015-10-19 |
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| 1497368369 | Federal Bureau of Prisons | Clinic/Center | 1000 Airbase Rd., Pollock, LA 71467-3521 | 2020-08-28 |
| 1194136705 | Federal Bureau of Prisons | Clinic/Center | 700 Arch St, Philadelphia, PA 19106-1548 | 2014-05-16 |
| 1750610960 | Federal Bureau of Prisons | Clinic/Center | Old Hwy 75, Butner, NC 27509 | 2009-12-17 |
| 1053644773 | Federal Bureau of Prisons | Clinic/Center | 42 Patton Rd, Devens, MA 01432 | 2009-09-14 |
| Street Address |
772 SAINT JOSEPH ST |
| City | LORETTO |
| State | PA |
| Zip Code | 15940-7006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720264088 | James Gary Krepps Jr. | Physician Assistant | 772 Saint Joseph St, Fci-loretto, Loretto, PA 15940-7006 | 2008-01-17 |
| 1972095479 | Matthew Rabinowitz | Psychologist | 772 Saint Joseph St, Loretto, PA 15940-7006 | 2018-05-31 |
| 1477785335 | Federal Bureau of Prisons/fci Loretto | Clinic/Center | 772 Saint Joseph St, Loretto, PA 15940-7006 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821516212 | Brooke Weiland | Specialist/Technologist | 684 Storm Rd, Loretto, PA 15940 | 2017-09-06 |
| 1679956080 | Jessica Lynn Johns | Specialist/Technologist | 117 Lakeview Drive, Loretto, PA 15940 | 2015-07-02 |
| 1902080054 | Paul Farkas | Dentist | Fci Loretto, Loretto, PA 15940 | 2007-12-26 |
| 1386639896 | Curtis Charles Kindel | Physical Therapist | 108 Franciscan Way, Disepio Center for Rehabilitation, Loretto, PA 15940 | 2005-09-12 |
| 1578545125 | Mark Andrew Boland | Physical Therapist | 108 Franciscan Way, Disepio Center for Rehabilitation, Loretto, PA 15940 | 2005-11-18 |
| 1417180548 | Melanie Kay Malek | Physical Therapist | 108 Franciscan Way, Loretto, PA 15940-0600 | 2009-08-24 |
| 1083853329 | Disepio Institute for Rural Health and Wellness | Physician Assistant | 108 Franciscan Way, Loretto, PA 15940-0600 | 2009-02-10 |
| 1265493340 | Leslie A Krug | Physician Assistant | 141 Criste Rd, Loretto, PA 15940-6406 | 2006-03-29 |
| 1043684160 | Dakota Ott | Occupational Therapy Assistant | 263 Criste Rd, Loretto, PA 15940-6407 | 2015-12-01 |
| 1134605504 | Sharon M Biter | Nurse Practitioner | 475 Thomas Rd, Loretto, PA 15940-7205 | 2018-07-18 |
| Find all providers in zip 15940 | ||||
| Taxonomy Code | 261QP0904X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, Federal |
| Definition to come... |
Please comment or provide details below to improve the information on FEDERAL BUREAU OF PRISONS.
| 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.