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Contact Information

WASHINGTON STATE DEPARTMENT OF CORRECTIONS
7345 LINDERSON WAY SW
TUMWATER, WA98501-6504
 Phone: 360-725-8700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prison Health

261QP2400X
Indicates primary specialty

NPI Profile & details for WASHINGTON STATE DEPARTMENT OF CORRECTIONS

NPI # 1861813834
LBN Legal business name WASHINGTON STATE DEPARTMENT OF CORRECTIONS
Authorized official MARK ELIASON - (DEPUTY ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2013
Last updated 12/04/2025 - About 6 months 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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