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MISSION CREEK CORRECTIONS CENTER FOR WOMEN NPI 1689965063


NPI Information

NPI: 1689965063
Provider Name: MISSION CREEK CORRECTIONS CENTER FOR WOMEN
Classification: Clinic/Center - 261QP2400X
Entity Type: Organization

Specialization: Prison Health

CLIA Number: 50D1083268

Address:
3420 NE SAND HILL RD
BELFAIR, WA
ZIP 98528
Phone: (360) 277-2400
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MISSION CREEK CORRECTIONS CENTER FOR WOMEN is a prison health clinic center in Belfair, WA. MISSION CREEK CORRECTIONS CENTER FOR WOMEN NPI is 1689965063. The provider is registered as an organization entity type.

The provider's business location address is:

3420 NE SAND HILL RD
BELFAIR, WA
ZIP 98528-007
Phone: (360) 277-2400
Fax: (360) 277-2454

The provider's authorized official is Louis Mcdermott .
The authorized official title is Healthcare Finance Manager and has the following contact phone number (360) 725-8301.

The CLIA number assigned to this NPI record is 50D1083268 - tissue bank/repositories with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/20/2011 and was last updated on 4/20/2011.


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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