Organization
USP MCCREARY
Active
Parent organization
FEDERAL BUREAU OF PRISONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FEDERAL BUREAU OF PRISONS
Authorized official
MRS. BEVERLY BARRON (ACTING HEALTH SERVICES ADMINISTRATO)
(606) 354-7160
Entity
Organization
Contact information
Practice address
330 FEDERAL WAY, PINE KNOT, KY 42635-7000
(606) 354-7160
(606) 354-7163
Mailing address
330 FEDERAL WAY, PINE KNOT, KY 42635-7000
(606) 354-7160
(606) 354-7163
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
12669
PR
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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