National Provider Identifier Database

WASHINGTON STATE DEPARTMENT OF CORRECTIONS CEDAR CREEK CORRECTIONS CE
Prison Health


Contact Information

WASHINGTON STATE DEPARTMENT OF CORRECTIONS- CEDAR CREEK CORRECTIONS CE
12200 BORDEAUX ROAD
LITTLEROCK, WA98556-0037
Phone: 360-359-4100
Fax: 360-664-3586
Website:
Specialty Taxonomy Code
* Prison Health 261QP2400X

* Indicates primary specialty

NPI Profile & details for WASHINGTON STATE DEPARTMENT OF CORRECTIONS- CEDAR CREEK CORRECTIONS CE

NPI Number 1750672572
Legal business name
LBN
WASHINGTON STATE DEPARTMENT OF CORRECTIONS- CEDAR CREEK CORRECTIONS CE
Authorized official MARYANN CURL - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 04/27/2011
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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