# USP MCCREARY

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

## Provider details

- **NPI number:** 1720324023
- **Legal business name:** FEDERAL BUREAU OF PRISONS
- **Authorized official:** MRS. BEVERLY BARRON (ACTING HEALTH SERVICES ADMINISTRATO)
- **Authorized official phone:** (606) 354-7160

## Contact information

- **Practice address:** 330 FEDERAL WAY, PINE KNOT, KY 42635-7000
- **Practice address phone:** (606) 354-7160
- **Practice address fax:** (606) 354-7163
- **Mailing address:** 330 FEDERAL WAY, PINE KNOT, KY 42635-7000
- **Mailing address phone:** (606) 354-7160
- **Mailing address fax:** (606) 354-7163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | 12669 | PR | Yes |

## Other

- **Enumeration date:** 12/14/2012
- **Last updated:** 12/14/2012