Organization
FEDERAL CORRECTIONAL INSTITUTION, OTISVILLE
Active
Parent organization
FEDERAL BUREAU OF PRISONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FEDERAL BUREAU OF PRISONS
Authorized official
MR. CHESTER L MCKINNEY (HEALTH SERVICES ADMINISTRATOR)
(845) 386-6820
Entity
Organization
Contact information
Practice address
TWO MILE DRIVE, OTISVILLE, NY 10963-0600
(845) 386-6820
Mailing address
PO BOX 600, TWO MILE DRIVE, OTISVILLE, NY 10963-0600
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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