# FEDERAL CORRECTIONAL INSTITUTION, OTISVILLE

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

## Provider details

- **NPI number:** 1710310461
- **Legal business name:** FEDERAL BUREAU OF PRISONS
- **Authorized official:** MR. CHESTER L MCKINNEY (HEALTH SERVICES ADMINISTRATOR)
- **Authorized official phone:** (845) 386-6820

## Contact information

- **Practice address:** TWO MILE DRIVE, OTISVILLE, NY 10963-0600
- **Practice address phone:** (845) 386-6820
- **Mailing address:** PO BOX 600, TWO MILE DRIVE, OTISVILLE, NY 10963-0600

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2013
- **Last updated:** 08/16/2013