Provider Demographics
NPI:1538580774
Name:FEDERAL BUREAU OF PRISONS
Entity type:Organization
Organization Name:FEDERAL BUREAU OF PRISONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE WARDEN
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-784-9100
Mailing Address - Street 1:PO BOX 6500
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:CO
Mailing Address - Zip Code:81226-6500
Mailing Address - Country:US
Mailing Address - Phone:719-784-9100
Mailing Address - Fax:
Practice Address - Street 1:5880 STATE HIGHWAY 67
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:CO
Practice Address - Zip Code:81226-9791
Practice Address - Country:US
Practice Address - Phone:719-784-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health