Larch Corrections Center
NPI #1538450911 in Yacolt, Washington
Provider Information
- NPI Number
- 1538450911
- Entity Type
- Organization
- Organization Name
- Larch Corrections Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DEPARTMENT OF CORRECTIONS
- Primary Specialty
- Clinic/Center - Prison Health
- Enumeration Date
- Apr 20, 2011
- Last Updated
- Apr 20, 2011
Practice Location
- Address
- 15314 NE DOLE VALLEY RD
- City
- Yacolt
- State
- Washington
- ZIP Code
- 98675-9521
- Phone
- (360) 260-6300
Authorized Official
- Name
- LOUIS MCDERMOTT
- Title
- HEALTHCARE FINANCE MANAGER
- Phone
- (360) 725-8301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Prison Health — Prison Health |
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