National Provider Identifier Database

WASHINGTON STATE DEPARTMENT OF CORRECTIONS WASHINGTON STATE PENITENTIA
Prison Health


Contact Information

WASHINGTON STATE DEPARTMENT OF CORRECTIONS-WASHINGTON STATE PENITENTIA
1313 NORTH 13TH AVENUE
WALLA WALLA, WA99362-8817
Phone: 509-525-3610
Fax: 509-526-6406
Website:
Specialty Taxonomy Code
* Prison Health 261QP2400X

* Indicates primary specialty

NPI Profile & details for WASHINGTON STATE DEPARTMENT OF CORRECTIONS-WASHINGTON STATE PENITENTIA

NPI Number 1164713558
Legal business name
LBN
WASHINGTON STATE DEPARTMENT OF CORRECTIONS-WASHINGTON STATE PENITENTIA
Authorized official MARYANN CURL - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 04/20/2011
Last updated 09/23/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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