WASHINGTON STATE DEPARTMENT OF CORRECTIONS COYOTE RIDGE CORRECTIONS CE is a prison health clinic center in Connell, WA. WASHINGTON STATE DEPARTMENT OF CORRECTIONS COYOTE RIDGE CORRECTIONS CE NPI is 1629369095. The provider is registered as an organization entity type.
The provider's business location address is:
1301 N EPHRATA AVE CONNELL, WA ZIP 99326 Phone: (509) 543-5800 Fax: (509) 543-5809
The provider's authorized official is Maryann Curl . The authorized official title is Chief Medical Officer and has the following contact phone number (509) 318-3498.
The CLIA number assigned to this NPI record is 50D1070560 - prison with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 4/20/2011 and was last updated on 9/23/2024.
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:
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: 3/30/2025
NPI Synchronization or Removal
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