FEDERAL BUREAU OF PRISONS

NPI # 

Practice Address:

1000 Airbase Rd.

Pollock, LA, 71467-3521

Practice Phone:

318-765-4482

Practice Fax:

318-765-4459

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Prison Health

Taxonomy Code:

261QP2400X