# PRISON HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093968232
- **Authorized official:** MS. JOANNA B GARCIA (VICE PRESIDENT PROVIDER OPERATIONS)
- **Authorized official phone:** (800) 729-0069

## Contact information

- **Practice address:** 105 WESTPARK DR, SUITE 200, BRENTWOOD, TN 37027-5319
- **Practice address phone:** (800) 729-0069
- **Practice address fax:** (615) 376-1353
- **Mailing address:** 105 WESTPARK DR, SUITE 200, BRENTWOOD, TN 37027-5319
- **Mailing address phone:** (800) 729-0069
- **Mailing address fax:** (615) 376-1353

## Taxonomy

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

## Other

- **Enumeration date:** 10/31/2008
- **Last updated:** 04/21/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1093968232 | NPI | MI |