# COLUMBIA CAPITAL MEDICAL CENTER, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Capital Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134177165
- **Authorized official:** SHELTON RAY COFFEY (VP REIMBURSEMENT)
- **Authorized official phone:** (615) 764-3009

## Contact information

- **Practice address:** 3900 CAPITOL MALL DR SW, OLYMPIA, WA 98502-8654
- **Practice address phone:** (360) 754-5858
- **Practice address fax:** (360) 956-2574
- **Mailing address:** 3900 CAPITOL MALL DR SW, OLYMPIA, WA 98502-8654
- **Mailing address phone:** (360) 754-5858
- **Mailing address fax:** (360) 956-2574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | H-197 | WA | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 09/30/2010