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Contact Information

WASHINGTON STATE DEPARTMENT OF CORRECTIONS STAFFORD CREEK CORRECTIONS
191 CONSTANTINE WAY
ABERDEEN, WA98520
 Phone: 360-537-1800
 Fax: 360-537-2075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prison Health

261QP2400X
Indicates primary specialty

NPI Profile & details for WASHINGTON STATE DEPARTMENT OF CORRECTIONS STAFFORD CREEK CORRECTIONS

NPI # 1427349802
LBN Legal business name WASHINGTON STATE DEPARTMENT OF CORRECTIONS STAFFORD CREEK CORRECTIONS
Authorized official MARY ANN CURL - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/20/2011
Last updated 09/23/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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