STAFFORD CREEK CORRECTION CENTER NPI 1952506420

NPI Details

STAFFORD CREEK CORRECTION CENTER is a custodial care facility in Aberdeen, WA. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. STAFFORD CREEK CORRECTION CENTER NPI is 1952506420. The provider is registered as an organization entity type.

The provider's business location address is:

191 CONSTANTINE WAY
ABERDEEN, WA
ZIP 98520-504
Phone: (360) 537-2167
Fax: (360) 537-2075

The provider's authorized official is Marc F. Stern .
The authorized official title is Director, Health Services Doc and has the following contact phone number (360) 725-8700.

The CLIA number assigned to this NPI record is 50D0977882 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/15/2007 and was last updated on 9/11/2025.

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: