Organization · Type 2 NPI
Washington State Department of Corrections Coyote Ridge Corrections Ce
Prison Health Clinic/Center · Connell, WA
NPI number
1629369095
Active
Practice location
1301 N Ephrata Ave
Connell, WA 99326
Fax (509) 543-5809
Mailing address
PO Box 41100, Mail Stop 41100
Olympia, WA 98504-1100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prison Health Clinic/Center Primary | 261QP2400X | None listed |
Prison Health Clinic/Center: Definition to come...
12 other providers at this address
- Carol Stockhausen, DDSDentist Connell, WA NPI 1124576129
- Cassidy Ryan Blount, DDSGeneral Practice Dentistry Connell, WA NPI 1265890131
- Helen Elizabeth Jack, MDHospitalist Physician Connell, WA NPI 1730686395
- Jeffrey C. Nelson, RNRegistered Nurse Connell, WA NPI 1730978842
- Jessica Ann Nelson, LPN4Licensed Practical Nurse Connell, WA NPI 1053288589
- Jessica Pearl, ARNPFamily Medicine Physician Connell, WA NPI 1518435429
- Jolene DownsLicensed Practical Nurse Connell, WA NPI 1144171984
- Jonathan Neau, PA-CPhysician Assistant Connell, WA NPI 1871895987
- Kristi McCall, RN, BSNRegistered Nurse Connell, WA NPI 1881564276
- Shane Ririe, PA-CPhysician Assistant Connell, WA NPI 1780066639
- Timothy Michael Hall, DDSGeneral Practice Dentistry Connell, WA NPI 1508240235
- Tony A. Harrington, SUDPTAddiction (Substance Use Disorder) Counselor Connell, WA NPI 1013530625
About NPI 1629369095
Washington State Department of Corrections Coyote Ridge Corrections Ce's National Provider Identifier is 1629369095, issued on Apr 20, 2011. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Connell, WA. The record was last updated on Sep 23, 2024.