Organization · Type 2 NPI
Corizon Health
Prison Health Clinic/Center · Jefferson City, MO
NPI number
1528441276
Active
Practice location
3702 W Truman Blvd, Suite 104
Jefferson City, MO 65109-4970
Mailing address
36 Stoneyside Ln
Olivette, MO 63132-4122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prison Health Clinic/Center Primary | 261QP2400X | 2015015777 (MO) |
Prison Health Clinic/Center: Definition to come...
4 other providers at this address
About NPI 1528441276
Corizon Health's National Provider Identifier is 1528441276, issued on Jun 30, 2015. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Jefferson City, MO. The record was last updated on Jun 30, 2015.