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FEDERAL PRISON CAMP
NPI 1992061188
Clinic/Center - Prison Health in Bryan, TX

Active since April 02, 2012CLIA 45D0707642 · Waiver
1100 URSULINE AVE, BRYAN, TX 77803(979) 823-1879(979) 821-3315 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Federal Prison Camp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FEDERAL PRISON CAMP (NPI 1992061188) is a healthcare organization registered as a prison health in Bryan, Texas and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kathleen L Rivers, Health Services Administrator, as its authorized official.

NPPES Registry Identity

NPI1992061188
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameFEDERAL PRISON CAMP
Location Address1100 URSULINE AVEBryan, TX 77803-4951
Mailing Address1100 Ursuline AveBryan, TX 77805-2197 · (979) 823-1879 · Fax (979) 821-3315
Phone(979) 823-1879
Fax(979) 821-3315
Organization SubpartNo
Authorized OfficialKathleen L RiversHealth Services Administrator · (979) 823-1879
Enumeration DateApril 2, 2012
✔ NPI 1992061188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
1100 URSULINE AVE, Bryan, TX 77803
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0707642

Federal Prison Camp Bryan · Bryan, TX
Active · expires Aug 31, 2026
CLIA Number45D0707642
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCathy Rodriquez
Laboratory Phone(409) 823-1879
Laboratory LocationFederal Prison Camp Bryan1100 Ursuline, Bryan, TX 77803
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DEBORAH LYNNE O'DELL RPH
Pharmacist
1100 URSULINE AVE
BRYAN, TX 77803
Brazos County (979) 823-1879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Federal Prison Camp's NPI number?

The NPI number for Federal Prison Camp is 1992061188. It was assigned to this organization in the NPPES registry on April 2, 2012.

Where is Federal Prison Camp located?

Federal Prison Camp is located at 1100 Ursuline Ave, Bryan, TX 77803. The listed phone number is (979) 823-1879.

What is Federal Prison Camp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

Does Federal Prison Camp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0707642) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Federal Prison Camp was last updated on April 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.