# FCI TALLADEGA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FEDERAL BUREAU OF PRISONS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033719729
- **Legal business name:** FEDERAL BUREAU OF PRISONS
- **Authorized official:** DR. CASEY DELANE SUMNER PHARM.D. (CHIEF PHARMACIST)
- **Authorized official phone:** (256) 315-4127

## Contact information

- **Practice address:** 565 E. RENFROE ROAD, TELLADEGA, AL 35160
- **Practice address phone:** (256) 315-4127
- **Practice address fax:** (256) 315-4390
- **Mailing address:** 565 E. RENFROE ROAD, TELLADEGA, AL 35160
- **Mailing address phone:** (256) 315-4127
- **Mailing address fax:** (256) 315-4390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2020
- **Last updated:** 10/30/2020