institution
Washington State Department Of Corrections Coyote Ridge Corrections Ce
Prison Health Clinic/Center in Connell, Washington
NPI 1629369095

Washington State Department Of Corrections Coyote Ridge Corrections Ce is a Prison Health Clinic/Center based in Olympia, WA and is specialized in Prison Health. Washington State Department Of Corrections Coyote Ridge Corrections Ce practices in Connell, WA. The NPI Number for Washington State Department Of Corrections Coyote Ridge Corrections Ce is 1629369095 and holds a License No. (Washington).

The current practice location address for Washington State Department Of Corrections Coyote Ridge Corrections Ce is 1301 N Ephrata Ave, Connell, WA and can be reached out via phone at 509-543-5800 and via fax at 509-543-5809.

Location: 1301 N Ephrata Ave, Connell, WA, 98504-1100
institution
Provider Profile Details
NPI Number
1629369095
Provider Name
Washington State Department Of Corrections Coyote Ridge Corrections Ce
Credential
Provider Entity Type
Organization
Address
1301 N Ephrata Ave, Connell, WA, 98504-1100
Phone Number
509-543-5800
Fax Number
509-543-5809
Provider Enumeration Date
04/20/2011
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
1301 N Ephrata Ave
City
State
Zip
99326
Phone Number
509-543-5800
Fax Number
509-543-5809
person
Provider Business Mailing Address Details
Address
1301 N Ephrata Ave
City
State
Zip
99326
Phone Number
509-543-5800
Fax Number
509-543-5809
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Prison Health
Taxonomy
License No.
()
Definition
Definition to come...
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