LARCH CORRECTIONS CENTER NPI 1538450911

NPI Information

NPI: 1538450911
Provider Name: LARCH CORRECTIONS CENTER
Classification: Clinic/Center - 261QP2400X
Entity Type: Organization

Specialization: Prison Health

Address:
15314 NE DOLE VALLEY RD
YACOLT, WA
ZIP 98675
Phone: (360) 260-6300
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LARCH CORRECTIONS CENTER is a prison health clinic center in Yacolt, WA. LARCH CORRECTIONS CENTER NPI is 1538450911. The provider is registered as an organization entity type.

The provider's business location address is:

15314 NE DOLE VALLEY RD
YACOLT, WA
ZIP 98675-521
Phone: (360) 260-6300
Fax: (360) 686-3966

The provider's authorized official is Louis Mcdermott .
The authorized official title is Healthcare Finance Manager and has the following contact phone number (360) 725-8301.

The enumeration date for this NPI number is 4/20/2011 and was last updated on 4/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2400X	Clinic/Center	Prison Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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