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.