institution
Federal Bureau Prisons, Fcc Petersburg
Federally Qualified Health Center (FQHC) in Petersburg, Virginia
NPI 1700154978

Federal Bureau Prisons, Fcc Petersburg is a Federally Qualified Health Center (FQHC) based in Petersburg, VA and is specialized in Federally Qualified Health Center (FQHC). Federal Bureau Prisons, Fcc Petersburg practices in Petersburg, VA. The NPI Number for Federal Bureau Prisons, Fcc Petersburg is 1700154978 and holds a License No. MD052885L (Virginia).

The current practice location address for Federal Bureau Prisons, Fcc Petersburg is 1060 River Rd, Petersburg, VA and can be reached out via phone at 804-504-7200 and via fax at 804-504-7225.

Location: 1060 River Rd, Petersburg, VA, 23804-9000
institution
Provider Profile Details
NPI Number
1700154978
Provider Name
Federal Bureau Prisons, Fcc Petersburg
Credential
Provider Entity Type
Organization
Address
1060 River Rd, Petersburg, VA, 23804-9000
Phone Number
804-504-7200
Fax Number
804-504-7225
Provider Enumeration Date
12/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1060 River Rd
City
State
Zip
23801-1398
Phone Number
804-504-7200
Fax Number
804-504-7225
person
Provider Business Mailing Address Details
Address
1060 River Rd
City
State
Zip
23801-1398
Phone Number
804-504-7200
Fax Number
804-504-7225
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
MD052885L (Pennsylvania)
Definition
Definition to come...
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