| Federal Correctional Institution, Loretto | |
|
772 Saint Joseph St Loretto PA 15940-7006 | |
| (814) 471-1579 | |
| (814) 471-1596 |
| Full Name | Federal Correctional Institution, Loretto |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 772 Saint Joseph St, Loretto, Pennsylvania |
| Authorized Official Name and Position | Jeffrey G. Trimbath (HEALTH SERVICES ADMINISTRATOR/PA-C) |
| Authorized Official Contact | 8144711579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Federal Correctional Institution, Loretto 772 Saint Joseph St Loretto PA 15940-7006 Ph: (814) 471-1579 | Federal Correctional Institution, Loretto 772 Saint Joseph St Loretto PA 15940-7006 Ph: (814) 471-1579 |
| NPI Number | 1518225127 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 05/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518225127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |