# FEDERAL CORRECTIONAL COMPLEX

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

## Provider details

- **NPI number:** 1518505098
- **Authorized official:** JAMES POTOPE EMT-P (HEALTH SERVICES ADMINISTRATOR)
- **Authorized official phone:** (570) 547-7950

## Contact information

- **Practice address:** ROUTE 15.2 MI N. OF ALLENWOOD, ALLENWOOD, PA 17810
- **Practice address phone:** (570) 547-0963
- **Practice address fax:** (570) 547-9294
- **Mailing address:** P.O. BOX 3500, ATTN: HEALTH SERVICES, WHITE DEER, PA 17887
- **Mailing address phone:** (570) 547-0963
- **Mailing address fax:** (570) 547-9294

## Taxonomy

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

## Other

- **Enumeration date:** 12/16/2019
- **Last updated:** 03/07/2023