Organization
FEDERAL CORRECTIONAL INSTUTION ASHLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA SUE WAUGAMAN RN (HEALTH SERVICES ADMINISTRATOR)
(606) 929-4110
Entity
Organization
Contact information
Practice address
STATE ROUTE 716, ASHLAND, KY 41105-0888
(606) 929-4110
(606) 929-4392
Mailing address
PO BOX 888, STATE ROUTE 716, ASHLAND, KY 41105-0888
(606) 929-4110
(606) 929-4392
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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