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WA STATE DEPARTMENT OF CORRECTIONS HEADQUARTERS NPI 1861813834


NPI Information

NPI: 1861813834
Provider Name: WA STATE DEPARTMENT OF CORRECTIONS HEADQUARTERS

Other Name: DOC HQ HEALTH SERVICES

Classification: Clinic/Center - 261QP2400X
Entity Type: Organization

Specialization: Prison Health

CLIA Number: 50D2292605

Address:
7345 LINDERSON WAY SW
TUMWATER, WA
ZIP 98501
Phone: (360) 725-8709
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WA STATE DEPARTMENT OF CORRECTIONS HEADQUARTERS is a prison health clinic center in Tumwater, WA. WA STATE DEPARTMENT OF CORRECTIONS HEADQUARTERS NPI is 1861813834. The provider is registered as an organization entity type.
The provider Other Name Is Doc Hq Health Services.

The provider's business location address is:

7345 LINDERSON WAY SW
TUMWATER, WA
ZIP 98501-504
Phone: (360) 725-8709

The provider's authorized official is G. Steven Hammond .
The authorized official title is Chief Medical Officer and has the following contact phone number (360) 725-8700.

The CLIA number assigned to this NPI record is 50D2292605 - other - tate health department with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2013 and was last updated on 12/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2400XClinic/CenterPrison HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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