FEDERAL PRISON CAMP (NPI# 1992061188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992061188 |
| Entity Type | Organization |
| Organization Name | FEDERAL PRISON CAMP |
| Practice Address |
1100 Ursuline Ave Bryan TX 77803-4951 |
| Mailing Address |
1100 Ursuline Ave Bryan TX 77805-2197 |
| Practice Telephone | 9798231879 |
| Practice Fax Number | 9798213315 |
| Mailing Telephone | 9798231879 |
| Mailing Fax Number | 9798213315 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |
| Authorized Official Name | MS. KATHLEEN L RIVERS (HEALTH SERVICES ADMINISTRATOR) |
| Authorized Official Telephone | 9798231879 |
| Authorized Official Credential | RN |
| 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 |
1100 URSULINE AVE |
| City | BRYAN |
| State | TX |
| Zip Code | 77803-4951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124140876 | Deborah Lynne O'dell | Pharmacist | 1100 Ursuline Ave, Bryan, TX 77803-4951 | 2007-04-04 |
| 1659702504 | William Cooper | Physician Assistant | 1100 Ursuline Ave, Bryan, TX 77803-4951 | 2013-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902275878 | Dansby House Inc | Assisted Living Facility | 703 Dean St, Bryan, TX 77803 | 2015-09-21 |
| 1841600640 | Shs-sig Select 1, Inc. | In Home Supportive Care | 1135 N Earl Rudder Freeway, Ste 102, Bryan, TX 77803 | 2014-05-01 |
| 1093065393 | Virginia Clipson Johnson | Speech-Language Pathologist | 1401 W. Martin Luther King, Bryan, TX 77803 | 2012-09-13 |
| 1316235005 | H-e-b, Lp | Clinical Medical Laboratory | 1609 N Texas Ave, Bryan, TX 77803 | 2011-07-14 |
| 1114251550 | Kathy L Linnemeier | Occupational Therapist | 302 E 24th St., Bryan, TX 77803 | 2009-10-01 |
| 1457566622 | Scd Back & Joint Clinic, Ltd | Chiropractor | 200 East 24th Street, Suite B, Bryan, TX 77803 | 2007-05-11 |
| 1013010206 | Frances Harriett Kimbrough | Psychologist | 403 South Houston Avenue, Bryan, TX 77803 | 2006-09-06 |
| 1427034362 | Abc Chiropractic Pa | Chiropractor | 322 North Main St, Bryan, TX 77803 | 2005-12-22 |
| 1194112383 | Monica Menchaca | Specialist/Technologist | 3007 Highwood Ln, Bryan, TX 77803-0306 | 2015-04-25 |
| 1063777324 | Ryan Isaac Gilchrist | Technician | 2914 Indiana Ave, Bryan, TX 77803-1070 | 2012-07-11 |
| Find all providers in zip 77803 | ||||
| Taxonomy Code | 261QP2400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Prison Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649497801 | Big Spring Correctional Center | Clinic/Center | 1701 Apron Dr, Big Spring, TX 79720-7821 | 2007-04-19 |
| 1487052452 | Harris County Sheriff's Office | Clinic/Center | 1200 Baker St, Houston, TX 77002-1206 | 2014-12-08 |
| 1063821981 | Utmb | Clinic/Center | 12603 Southwest Fwy Ste 335, Stafford, TX 77477-3842 | 2014-08-05 |
| 1447419353 | Federal Detention Center Houston | Clinic/Center | 1200 Texas Ave, Houston, TX 77002 | 2008-06-05 |
Please comment or provide details below to improve the information on FEDERAL PRISON CAMP.
| 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.