Organization
LARCH CORRECTIONS CENTER
Active
Parent organization
DEPARTMENT OF CORRECTIONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPARTMENT OF CORRECTIONS
Authorized official
LOUIS MCDERMOTT (HEALTHCARE FINANCE MANAGER)
(360) 725-8301
Entity
Organization
Contact information
Practice address
15314 NE DOLE VALLEY RD, YACOLT, WA 98675-9521
(360) 260-6300
(360) 686-3966
Mailing address
PO BOX 41107, OLYMPIA, WA 98504-1107
(360) 725-8298
(360) 586-1320
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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