WASHINGTON STATE DEPARTMENT OF CORRECTIONS CLALLAM BAY CORRECTIONS CEN; NPI #1902197387

Contact Information

WASHINGTON STATE DEPARTMENT OF CORRECTIONS CLALLAM BAY CORRECTIONS CEN

1830 EAGLE CREST WAY
CLALLAM BAY, WA 98326

Phone: 360-203-1500
Fax: 360-664-3586
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prison Health	261QP2400X

Indicates primary specialty

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NPI Profile & details for WASHINGTON STATE DEPARTMENT OF CORRECTIONS CLALLAM BAY CORRECTIONS CEN

NPI #	`1902197387`
LBN Legal business name	WASHINGTON STATE DEPARTMENT OF CORRECTIONS CLALLAM BAY CORRECTIONS CEN
Authorized official	MARYANN CUR - (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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