Organization · Type 2 NPI
Washington State Department of Corrections Mission Creek Corrections C
Prison Health Clinic/Center · Belfair, WA
NPI number
1689965063
Active
Practice location
3420 NE Sand Hill Road
Belfair, WA 98528
Fax (360) 277-2454
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...
About NPI 1689965063
Washington State Department of Corrections Mission Creek Corrections C's National Provider Identifier is 1689965063, issued on Apr 20, 2011. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Belfair, WA. The record was last updated on Sep 23, 2024.