Washington State Penitentiary

LBN: Washington State Penitentiary
Washington State Penitentiary is an health care organization with primary practice located at 1313 N 13Th Ave , Walla Walla WA 99362-8817. The organization recently has only one registered license in Ambulatory Health Care Facilities / Prison Health, which is considered as the primary health care specialty. Washington State Penitentiary can be contacted via phone (509) 525-3610, or through Mcdermott, Louis via phone (360) 725-8301.

Contact Information

Primary practice address
1313 N 13Th Ave Walla Walla WA 99362-8817
Phone: (509) 525-3610
Fax: (509) 526-6406
Website:
Map and Directions
Authorized official contact:
Name: Mcdermott, Louis
Phone: (360) 725-8301

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Prison Health 261QP2400X

Profile Details

NPI number 1164713558
LBN Legal business name Washington State Penitentiary
DBA Doing business as
Authorized official Mcdermott, Louis
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 20th, 2011
Last updated Apr 20th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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