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WASHINGTON STATE DEPARTMENT OF CORRECTIONS COYOTE RIDGE CORRECTIONS CE
NPI 1629369095
Clinic/Center - Prison Health in Connell, WA

Active since April 20, 2011
1301 N EPHRATA AVE, CONNELL, WA 99326(509) 543-5800(509) 543-5809 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Sep 6, 2024 (2 updates tracked since 2024).

About Washington State Department Of Corrections Coyote Ridge Corrections Ce NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WASHINGTON STATE DEPARTMENT OF CORRECTIONS COYOTE RIDGE CORRECTIONS CE (NPI 1629369095) is a healthcare organization registered as a prison health in Connell, Washington and active in the NPI registry since April 2011. The organization lists Maryann Curl, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1629369095
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameWASHINGTON STATE DEPARTMENT OF CORRECTIONS COYOTE RIDGE CORRECTIONS CE
Location Address1301 N EPHRATA AVEConnell, WA 99326
Mailing AddressPo Box 41100, Mail Stop 41100Olympia, WA 98504-1100 · (360) 725-8213 · Fax (360) 586-1320
Phone(509) 543-5800
Fax(509) 543-5809
Organization SubpartYesParent: Department Of Corrections
Authorized OfficialMaryann CurlChief Medical Officer · (509) 318-3498
Enumeration DateApril 20, 2011
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
✔ NPI 1629369095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
1301 N EPHRATA AVE, Connell, WA 99326
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONY A HARRINGTON SUDPT
Counselor (Addiction (Substance Use Disorder))
1301 N EPHRATA AVE
CONNELL, WA 99326
Franklin County (509) 543-5800
JESSICA ANN NELSON LPN4
Licensed Practical Nurse
1301 N EPHRATA AVE
CONNELL, WA 99326
Franklin County (509) 543-5903
CAROL STOCKHAUSEN DDS
Dentist
1301 N EPHRATA AVE
CONNELL, WA 99326
Franklin County (509) 543-5800
JOLENE DOWNS
Licensed Practical Nurse
1301 N EPHRATA AVE
CONNELL, WA 99326
Franklin County (509) 544-3564
DR. CASSIDY RYAN BLOUNT D.D.S.
Dentist (General Practice)
1301 N EPHRATA AVE
CONNELL, WA 99326
Franklin County (509) 543-5800
TIMOTHY MICHAEL HALL DDS
Dentist (General Practice)
1301 N EPHRATA AVE
CONNELL, WA 99326
Franklin County (509) 543-5978
JESSICA PEARL ARNP
Family Medicine
1301 N EPHRATA AVE
CONNELL, WA 99326
Franklin County (509) 543-5800
HELEN ELIZABETH JACK MD
Hospitalist
1301 N EPHRATA AVE
CONNELL, WA 99326
Franklin County (509) 544-3516

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Washington State Department Of Corrections Coyote Ridge Corrections Ce's NPI number?

The NPI number for Washington State Department Of Corrections Coyote Ridge Corrections Ce is 1629369095. It was assigned to this organization in the NPPES registry on April 20, 2011.

Where is Washington State Department Of Corrections Coyote Ridge Corrections Ce located?

Washington State Department Of Corrections Coyote Ridge Corrections Ce is located at 1301 N Ephrata Ave, Connell, WA 99326. The listed phone number is (509) 543-5800.

What is Washington State Department Of Corrections Coyote Ridge Corrections Ce's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

When was this NPI record last updated?

The NPPES record for Washington State Department Of Corrections Coyote Ridge Corrections Ce was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.