FEDERAL CORRECTIONAL INSTITUTION (NPI# 1205193893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205193893 |
| Entity Type | Organization |
| Organization Name | FEDERAL CORRECTIONAL INSTITUTION |
| Practice Address |
37900 N 45th Ave Dept 1680 Phoenix AZ 85086-7008 |
| Practice Telephone | 6234655797 |
| Practice Fax Number | 6234655116 |
| Mailing Telephone | 6234655797 |
| Mailing Fax Number | 6234655116 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |
| Authorized Official Name | MR. RICARDO WILLIS (HEALTH SERVICES ADMINISTRATOR) |
| Authorized Official Telephone | 6234655163 |
| Authorized Official Credential | ETC |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275733446 | Federal Correctional Institution | Community/Behavioral Health | 3150 Horton Rd, Forest Hill, TX 76119-5905 | 2007-07-24 |
| Street Address |
37900 N 45TH AVE DEPT 1680 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85086-7008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447371406 | William Paul Butler | Pharmacist | 37900 N 45th Ave Dept 1680, Phoenix, AZ 85086-7008 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
| 1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
| 1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
| 1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
| Find all providers in zip 85086 | ||||
| Taxonomy Code | 261QP0904X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, Federal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699079269 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1527 N Park Dr, Winslow, AZ 86047-2517 | 2010-12-22 |
| 1306016126 | Winslow Indian Health Care Center, Inc | Clinic/Center | 3 Mls S of Dilkon Chapter House, Dilkon, AZ 86047-0000 | 2008-03-07 |
| 1184729493 | Winslow Indian Health Care Center, Inc | Clinic/Center | 500 N Indiana Ave, Winslow, AZ 86047-2169 | 2006-09-13 |
| 1336199199 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson | Clinic/Center | Federal Route 21, Pisinemo Village, AZ 89563 | 2006-05-11 |
| 1437157302 | Ton San Xavier Health Center | Clinic/Center | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2005-07-13 |
| 1326491846 | Physiotherapy Associates | Clinic/Center | 9917 N 95th St, Scottsdale, AZ 85258-4586 | 2016-07-20 |
| 1841634201 | Ice Health Service Corps | Clinic/Center | 3250 N Pinal Pkwy, Florence, AZ 85132-9459 | 2013-04-28 |
| 1023378825 | Peach Springs Indian Health Center | Clinic/Center | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2012-05-25 |
| 1760652580 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1.5 Mile N of Leupp Chapter House, Leupp, AZ 86035-0000 | 2008-03-07 |
Please comment or provide details below to improve the information on FEDERAL CORRECTIONAL INSTITUTION.
| 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.