WASHINGTON STATE DEPARTMENT OF CORRECTIONS MISSION CREEK CORRECTIONS C
NPI 1689965063
Clinic/Center - Prison Health in Belfair, WA
NPI Status: Active since April 20, 2011
Contact Information
3420 NE SAND HILL ROAD
BELFAIR, WA
ZIP 98528
Phone: (360) 277-2400
Fax: (360) 277-2454
- Organization
- Clinic/Center
- Prison Health
- CLIA Number: 50D1083268
- CLIA Cert. Type: Tissue Bank/Repositories
- CLIA Exp. Date: 04-04-2028
About WASHINGTON STATE DEPARTMENT OF CORRECTIONS MISSION CREEK CORRECTIONS C
This page provides the complete NPI Profile along with additional information for Washington State Department Of Corrections Mission Creek Corrections C, a provider established in Belfair, Washington operating as a Clinic/center, focusing in prison health . The healthcare provider is registered in the NPI registry with number 1689965063 assigned on April 2011. The practitioner's primary taxonomy code is 261QP2400X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Maryann Curl M.d. (Chief Medical Officer)
- NPI
- 1689965063
- Provider Name
- WASHINGTON STATE DEPARTMENT OF CORRECTIONS MISSION CREEK CORRECTIONS C
- Entity Type
- Organization
- Location Address
- 3420 NE SAND HILL ROAD BELFAIR, WA 98528
- Location Phone
- (360) 277-2400
- Location Fax
- (360) 277-2454
- Mailing Address
- PO BOX 41100, MAIL STOP 41100 OLYMPIA, WA 98504
- Mailing Phone
- (360) 725-8213
- Mailing Fax
- (360) 277-2454
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-20-2011
- Last Update Date
- 09-23-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Prison Health
- Taxonomy Code
- 261QP2400X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D1083268
- Facility Type
- Tissue Bank/Repositories
- Certificate Effective Date
- April 30, 2008
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- JACKIE SHUEY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Washington State Department Of Corrections Mission Creek Corrections C in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 9 | 6 | 5 | 0 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 18 | 6 | 10 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 8 + 6 + 1 + 0 + 0 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1689965063 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689965063, enumerated in the NPI registry as an "organization" on April 20, 2011
The provider is located at 3420 Ne Sand Hill Road Belfair, Wa 98528 and the phone number is (360) 277-2400
This medical organization specializes in Clinic/Center with taxonomy code 261QP2400X with a focus in Prison Health
The provider's CLIA number is 50D1083268 for a "tissue bank/repositories" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on April 20, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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