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Contact Information

STAFFORD CREEK CORRECTION CENTER
191 CONSTANTINE WAY
ABERDEEN, WA98520-9504
 Phone: 360-537-2167
 Fax: 360-537-2075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Custodial Care Facility

311Z00000X
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for STAFFORD CREEK CORRECTION CENTER

NPI Number 1952506420
LBN Legal business name STAFFORD CREEK CORRECTION CENTER
Authorized official MARC STERN - (DIRECTOR, HEALTH SERVICES DOC)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2007
Last updated 09/11/2025 - About 9 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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