Organization · Type 2 NPI
Corrections Corp. of America
Prison Health Clinic/Center · Estancia, NM
NPI number
1487832986
Active
Practice location
209 East Allen Ayers
Estancia, NM 87016-0837
Fax (505) 384-0240
Mailing address
10 Burton Hills Blvd
Nashville, TN 37215-6105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prison Health Clinic/Center Primary | 261QP2400X | R60905 (NM) |
Prison Health Clinic/Center: Definition to come...
About NPI 1487832986
Corrections Corp. of America's National Provider Identifier is 1487832986, issued on Feb 6, 2008. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Estancia, NM. The record was last updated on Feb 6, 2008.