NPI 1255566477

State of Arizona Department of Corrections

Organisation Prison Health Clinic/Center Florence, AZ

Practice location

Address: 1305 E Butte Ave, Florence, AZ 85232
Phone: (520) 868-4011
Fax: (602) 258-7886
Mailing address: 3846 E Palmer St, Gilbert, AZ 85298-8855

Authorised official

Name: Lindsey R Chitwood
Title: Physician Assistant
Phone: (520) 868-4011

Registered specialties

Prison Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2400X Licence 3816 (AZ)

Other Clinic/Center providers in Arizona →

Registry record

NPI: 1255566477
Entity type: Organization
NPI issued: 18 May 2009
Record last updated: 18 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.