Organization
FEDERAL BUREAU OF PRISONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIHARIKA S. SHAH (HEALTH SERVICES ADMINISTRATOR)
(870) 630-6000
Entity
Organization
Contact information
Practice address
1301 DALE BUMPERS ROAD, FORREST CITY, AR 72335-2696
(870) 630-6000
(870) 494-4482
Mailing address
PO BOX 7000, FORREST CITY, AR 72336-7000
(870) 630-6000
(870) 494-4482
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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