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PIERCE COUNTY JAIL CLINIC
NPI 1013231695
Physician Assistant - Medical in Tacoma, WA

Active since March 25, 2010
910 TACOMA AVE S, TACOMA, WA 98402(253) 798-3442(253) 798-4043 Get Directions Write a Review

NPPES record last updated: March 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pierce County Jail Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PIERCE COUNTY JAIL CLINIC (NPI 1013231695) is a healthcare organization registered as a medical in Tacoma, Washington and active in the NPI registry since March 2010. The organization lists Miguel Balderrama, Jail Medical Director, as its authorized official.

NPPES Registry Identity

NPI1013231695
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NamePIERCE COUNTY JAIL CLINIC
Location Address910 TACOMA AVE STacoma, WA 98402-2104
Mailing Address910 Tacoma Ave STacoma, WA 98402-2104 · (253) 798-3442 · Fax (253) 798-4043
Phone(253) 798-3442
Fax(253) 798-4043
Organization SubpartNo
Authorized OfficialMiguel BalderramaJail Medical Director · (253) 798-7402
Enumeration DateMarch 25, 2010
✔ NPI 1013231695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA10001047
910 TACOMA AVE S, Tacoma, WA 98402
Open in Google Maps ↗

Other Identifiers 2

OtherPA10001047WA · Pa License
Medicaid8476145WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AZUSA MATSUBAYASHI ARNP
Nurse Practitioner (Psychiatric/Mental Health)
910 TACOMA AVE S
TACOMA, WA 98402
Pierce County (253) 403-1000
MR. KENNETH LEO FLECK PA-C
Physician Assistant (Medical)
910 TACOMA AVE S
TACOMA, WA 98402
Pierce County (253) 708-4033
DAVID NICHOLAS DEACONSON RN
Nurse Practitioner (Psychiatric/Mental Health)
910 TACOMA AVE S
TACOMA, WA 98402
Pierce County (253) 798-4668
P.C. JAIL CLINIC
Custodial Care Facility
910 TACOMA AVE S
TACOMA, WA 98402
Pierce County (253) 798-4033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pierce County Jail Clinic's NPI number?

The NPI number for Pierce County Jail Clinic is 1013231695. It was assigned to this organization in the NPPES registry on March 25, 2010.

Where is Pierce County Jail Clinic located?

Pierce County Jail Clinic is located at 910 Tacoma Ave S, Tacoma, WA 98402. The listed phone number is (253) 798-3442.

What is Pierce County Jail Clinic's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Pierce County Jail Clinic was last updated on March 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.