Federal Bureau Prisons, Fcc Petersburg
Federal Bureau Prisons, Fcc Petersburg is a Federally Qualified Health Center (FQHC) in Petersburg, Virginia. Licensed in Pennsylvania. Registered with an NPI since 2011.
- Licensed in
- PA
- In the registry since
- 2011
Practice location Address checks out
1060 River RdPetersburg, VA 23801-1398
Phone: (804) 504-7200
Fax: (804) 504-7225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X · Licence MD052885L (PA) |
|---|
Record details
| NPI number | 1700154978 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Abdelouahab Benmansour — Hsa · (804) 504-7200 |
| NPI enumerated | December 2, 2011 |
| Last updated in NPPES | April 22, 2022 |
| Certification date | April 12, 2022 |
| Mailing address | Po Box 90026, Petersburg, VA 23804-9000 |
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