LARCH CORRECTIONS CENTER (NPI# 1538450911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538450911 |
| Entity Type | Organization |
| Organization Name | LARCH CORRECTIONS CENTER |
| Practice Address |
15314 Ne Dole Valley Rd Yacolt WA 98675-9521 |
| Mailing Address |
Po Box 41107 Olympia WA 98504-1107 |
| Practice Telephone | 3602606300 |
| Practice Fax Number | 3606863966 |
| Mailing Telephone | 3607258298 |
| Mailing Fax Number | 3605861320 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |
| Authorized Official Name | LOUIS MCDERMOTT (HEALTHCARE FINANCE MANAGER) |
| Authorized Official Telephone | 3607258301 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEPARTMENT OF CORRECTIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2400X |
Clinic/Center Specialization: Prison Health |
Ambulatory Health Care Facilities |
| Street Address |
15314 NE DOLE VALLEY RD |
| City | YACOLT |
| State | WA |
| Zip Code | 98675-9521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720445273 | Mary Brown | Counselor | 15314 Ne Dole Valley Rd, Yacolt, WA 98675-9521 | 2016-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922334614 | April Marie Miller | Contractor | 311 N. Amboy Ave., Yacolt, WA 98675 | 2009-10-30 |
| 1093933012 | Mary Elaine Bernabe | Midwife, Lay | 507 Ne Twin Falls Ave, Yacolt, WA 98675-0499 | 2007-04-23 |
| 1376988626 | Mary Bruckelmyer | Doula | 31707 Ne Parcel Ave, Yacolt, WA 98675-3456 | 2013-04-30 |
| 1700839180 | Tammy Richert | Massage Therapist | 18508 Ne Gabriel Rd, Yacolt, WA 98675-4108 | 2006-05-18 |
| 1578863700 | Bryan Wall | Hearing Instrument Specialist | 15518 Ne Fargher Lake Hwy, Yacolt, WA 98675-4508 | 2010-10-21 |
| 1518309012 | Alissa J Kysar | Registered Nurse | 37712 Ne Kelly Rd, Yacolt, WA 98675-4725 | 2013-07-24 |
| 1558763417 | Carla Pasagui Ines Syron | Occupational Therapist | 406 W Yacolt Rd, Yacolt, WA 98675-5426 | 2014-09-23 |
| 1104270131 | Jeanne Vollmer-cox | Speech-Language Pathologist | 406 W Yacolt Rd, Yacolt, WA 98675-5426 | 2016-04-15 |
| 1942576590 | Danyel Leann Piva | Massage Therapist | 311 N Amboy Ave, Yacolt, WA 98675-5442 | 2012-03-28 |
| 1053753889 | Melinda Grooms-unruh | Registered Nurse | 513 E Yacolt Rd, Yacolt, WA 98675-5535 | 2013-07-22 |
| Find all providers in zip 98675 | ||||
| Taxonomy Code | 261QP2400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Prison Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902197882 | Airway Heights Correction Center | Clinic/Center | 11919 W. Sprague Avenue, Airway Heights, WA 99001-1899 | 2011-04-26 |
| 1194016576 | Olympic Correction Center | Clinic/Center | 11235 Hoh Mainline Rd, Forks, WA 98331-9492 | 2011-04-20 |
| 1861813834 | Wa State Department of Corrections Headquarters | Clinic/Center | 7345 Linderson Way Sw, Tumwater, WA 98501-6504 | 2013-12-18 |
| 1588955306 | Monroe Correctional Complex | Clinic/Center | 16550 177th Ave Se, Monroe, WA 98272 | 2011-04-27 |
| 1750672572 | Cedar Creek Corrections Center | Clinic/Center | 12200 Bordeaux Road, Littlerock, WA 98556-0037 | 2011-04-27 |
| 1114218591 | Washington Corrections Center for Women | Clinic/Center | 9601 Bujacich Rd Nw, Gig Harbor, WA 98332-8300 | 2011-04-20 |
| 1902197387 | Clallam Bay Corrections Center | Clinic/Center | 1830 Eagle Crest Way, Clallam Bay, WA 98326-9724 | 2011-04-20 |
| 1629369095 | Coyote Ridge Corrections Center | Clinic/Center | 1301 N Ephrata Ave, Connell, WA 99326-9601 | 2011-04-20 |
| 1164713558 | Washington State Penitentiary | Clinic/Center | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2011-04-20 |
| 1427349802 | Stafford Creek Corrections Center | Clinic/Center | 191 Constantine Way, Aberdeen, WA 98520-9504 | 2011-04-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LARCH CORRECTIONS CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.