Washington State Department of Corrections Coyote Ridge Corrections Ce
NPI #1629369095 in Connell, Washington
Provider Information
- NPI Number
- 1629369095
- Entity Type
- Organization
- Organization Name
- Washington State Department of Corrections Coyote Ridge Corrections Ce
- 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
- Sep 23, 2024
Practice Location
- Address
- 1301 N EPHRATA AVE
- City
- Connell
- State
- Washington
- ZIP Code
- 99326
- Phone
- (509) 543-5800
Authorized Official
- Name
- MARYANN CURL, M.D.
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (509) 318-3498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Prison Health — Prison Health |
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