WASHINGTON STATE DEPARTMENT OF CORRECTIONS COYOTE RIDGE CORRECTIONS CE; NPI #1629369095

Contact Information

WASHINGTON STATE DEPARTMENT OF CORRECTIONS COYOTE RIDGE CORRECTIONS CE

1301 N EPHRATA AVE
CONNELL, WA 99326

Phone: 509-543-5800
Fax: 509-543-5809
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prison Health	261QP2400X

Indicates primary specialty

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NPI Profile & details for WASHINGTON STATE DEPARTMENT OF CORRECTIONS COYOTE RIDGE CORRECTIONS CE

NPI #	`1629369095`
LBN Legal business name	WASHINGTON STATE DEPARTMENT OF CORRECTIONS COYOTE RIDGE CORRECTIONS CE
Authorized official	MARYANN CURL - (CHIEF MEDICAL OFFICER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	04/20/2011
Last updated	09/23/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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