Organization
FEDERAL CORRECTIONAL COMPLEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES POTOPE EMT-P (HEALTH SERVICES ADMINISTRATOR)
(570) 547-7950
Entity
Organization
Contact information
Practice address
ROUTE 15.2 MI N. OF ALLENWOOD, ALLENWOOD, PA 17810
(570) 547-0963
(570) 547-9294
Mailing address
P.O. BOX 3500, ATTN: HEALTH SERVICES, WHITE DEER, PA 17887
(570) 547-0963
(570) 547-9294
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
03/07/2023
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