OrganizationActive
Washington State Department of Corrections Coyote Ridge Corrections Ce
NPI 1629369095 · Prison Health Clinic/Center · Connell, WA
Provider details
- NPI number
- 1629369095
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Department of Corrections
- Organization subpart
- Yes
- Authorized official
- Maryann Curl, Chief Medical Officer(509) 318-3498
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1301 N Ephrata Ave
Connell, WA 99326
Phone: (509) 543-5800
Fax: (509) 543-5809
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 41100, Mail Stop 41100
Olympia, WA 98504-1100
Registry dates
- Enumerated
- 2011-04-20
- Last updated
- 2024-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.