# LARCH CORRECTIONS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEPARTMENT OF CORRECTIONS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538450911
- **Legal business name:** DEPARTMENT OF CORRECTIONS
- **Authorized official:** LOUIS MCDERMOTT (HEALTHCARE FINANCE MANAGER)
- **Authorized official phone:** (360) 725-8301

## Contact information

- **Practice address:** 15314 NE DOLE VALLEY RD, YACOLT, WA 98675-9521
- **Practice address phone:** (360) 260-6300
- **Practice address fax:** (360) 686-3966
- **Mailing address:** PO BOX 41107, OLYMPIA, WA 98504-1107
- **Mailing address phone:** (360) 725-8298
- **Mailing address fax:** (360) 586-1320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2011
- **Last updated:** 04/20/2011