National Provider Identifier Database

WASHINGTON STATE DEPARTMENT OF CORRECTIONS WASHINGTON CORRECTIONS CENT
Prison Health


Contact Information

WASHINGTON STATE DEPARTMENT OF CORRECTIONS WASHINGTON CORRECTIONS CENT
2321 WEST DAYTON AIRPORT ROAD
SHELTON, WA98584
Phone: 360-426-4433
Fax: 360-432-5928
Website:
Specialty Taxonomy Code
* Prison Health 261QP2400X

* Indicates primary specialty

NPI Profile & details for WASHINGTON STATE DEPARTMENT OF CORRECTIONS WASHINGTON CORRECTIONS CENT

NPI Number 1447541834
Legal business name
LBN
WASHINGTON STATE DEPARTMENT OF CORRECTIONS WASHINGTON CORRECTIONS CENT
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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