FEDERAL CORRECTIONAL INSITUTION


Address: 805 Fox Hollow Rd, Manchester, KY 40962-7923
Phone: 6065981900

FEDERAL CORRECTIONAL INSITUTION (NPI# 1720459282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720459282
Entity Type Organization
Organization Name FEDERAL CORRECTIONAL INSITUTION
Practice Address 805 Fox Hollow Rd
Manchester
KY 40962-7923
Practice Telephone 6065981900
Practice Fax Number 6065994196
Mailing Telephone 6065981900
Mailing Fax Number 6065994196
Enumeration Date 2015-10-09
Last Update Date 2015-10-09
Authorized Official Name ANGEL WILSON (HEALTH SERVICES ADMINISTRATOR)
Authorized Official Telephone 6065981900
Authorized Official Credential HSA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 805 FOX HOLLOW RD
City MANCHESTER
State KY
Zip Code 40962-7923

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1669758579 Becky F Stubblefield Nurse Practitioner 65 Glenndale Drive, Manchester, KY 40962 2011-10-25
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1023223203 Dinah Lynn Sowders Speech-Language Pathologist 561 Mill Pond Drive, Manchester, KY 40962 2007-05-11
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1740573310 Adams County Hospital Clinic/Center 130 Wayne Frye Dr, Manchester, OH 45144-9314 2011-05-16

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1831572957 Lori Lee Baker Clinic/Center 300 Dogpatch Trading Ctr, London, KY 40741-7282 2015-07-07
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Competitor

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City MANCHESTER
Zip Code 40962

Improve Information

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Dataset Information

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.

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