Organization
FEDERAL BUREAU OF PRISONS
Active
Other names
Federal Correctional Institution, Loretto
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY G. TRIMBATH PA-C/MPAS (HEALTH SERVICES ADMINISTRATOR/PA-C)
(814) 471-1579
Entity
Organization
Contact information
Practice address
772 SAINT JOSEPH ST, LORETTO, PA 15940-7006
(814) 471-1579
(814) 471-1596
Mailing address
772 SAINT JOSEPH ST, LORETTO, PA 15940-7006
(814) 471-1579
(814) 471-1596
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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