Organization
PRISON HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNA B GARCIA (VICE PRESIDENT PROVIDER OPERATIONS)
(800) 729-0069
Entity
Organization
Contact information
Practice address
105 WESTPARK DR, SUITE 200, BRENTWOOD, TN 37027-5319
(800) 729-0069
(615) 376-1353
Mailing address
105 WESTPARK DR, SUITE 200, BRENTWOOD, TN 37027-5319
(800) 729-0069
(615) 376-1353
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
261QP2400X
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093968232
NPI
MI
Enumeration date
10/31/2008
Last updated
04/21/2009
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