WASHINGTON STATE DEPARTMENT OF CORRECTIONS CLALLAM BAY CORRECTIONS CEN – NPI #1902197387
Clinic/Center

WASHINGTON STATE DEPARTMENT OF CORRECTIONS CLALLAM BAY CORRECTIONS CEN is an AHC clinic located in CLALLAM BAY, WA. NPPES has assigned the NPI number 1902197387 to WASHINGTON STATE DEPARTMENT OF CORRECTIONS CLALLAM BAY CORRECTIONS CEN on April 20, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Prison Health

The NPI profile was last updated on Sep 23, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WASHINGTON STATE DEPARTMENT OF CORRECTIONS CLALLAM BAY CORRECTIONS CEN below.

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

NPI Number
1902197387
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WASHINGTON STATE DEPARTMENT OF CORRECTIONS CLALLAM BAY CORRECTIONS CEN
Primary location
1830 EAGLE CREST WAY
CLALLAM BAY, WA 98326
Phone: (360) 203-1500 Fax: (360) 664-3586
Mailing address
PO BOX 41100, MAIL STOP 41100
OLYMPIA, WA 98504-1100
Phone: (360) 725-8213 Fax: (360) 586-1320
Organization Subpart
Yes - WASHINGTON STATE DEPARTMENT OF CORRECTIONS CLALLAM BAY CORRECTIONS CEN is subpart of another organization.
Authorized Official
MARYANN CUR
CHIEF MEDICAL OFFICER
Phone: (509) 318-3498
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2400X
- Clinic/Center / Prison Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.