Organization
USP ATWATER
Active
Parent organization
FEDERAL BUREAU OF PRISONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FEDERAL BUREAU OF PRISONS
Authorized official
MRS. LOURDES METTRY R.N. (HEALTH SERVICE ADMINISTRATOR)
(209) 386-4791
Entity
Organization
Contact information
Practice address
1 FEDERAL WAY, ATWATER, CA 95301-5174
(209) 386-4791
Mailing address
1 FEDERAL WAY, ATWATER, CA 95301-5174
(209) 386-4791
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
CA
Other
Enumeration date
05/09/2014
Last updated
07/21/2022
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