WASHINGTON STATE DEPARTMENT OF CORRECTIONS-MONROE CORRECTIONAL COMPLEX
NPI 1588955306
Clinic/Center - Prison Health in Monroe, WA

NPI Status: Active since April 27, 2011

Contact Information

16550 177TH AVENUE SE
MONROE, WA
ZIP 98272
Phone: (360) 794-2600
Fax: (360) 794-2871

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  • Organization
  • Clinic/Center
  • Prison Health
  • CLIA Number: 50D0882362
  • CLIA Cert. Type: Prison
  • CLIA Exp. Date: 04-04-2028

About WASHINGTON STATE DEPARTMENT OF CORRECTIONS-MONROE CORRECTIONAL COMPLEX

This page provides the complete NPI Profile along with additional information for Washington State Department Of Corrections-monroe Correctional Complex, a provider established in Monroe, Washington operating as a Clinic/center, focusing in prison health . The healthcare provider is registered in the NPI registry with number 1588955306 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 2 years ago. The authorized official of this NPI record is Maryann Curl M.d. (Chief Medical Officer)

NPI
1588955306
Provider Name
WASHINGTON STATE DEPARTMENT OF CORRECTIONS-MONROE CORRECTIONAL COMPLEX
Entity Type
Organization
Location Address
16550 177TH AVENUE SE MONROE, WA 98272
Location Phone
(360) 794-2600
Location Fax
(360) 794-2871
Mailing Address
PO BOX 41100, MAIL STOP 41100 OLYMPIA, WA 98504
Mailing Phone
(360) 725-8213
Mailing Fax
(360) 794-2871
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-27-2011
Last Update Date
09-23-2024
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARYANN CURL M.D.

Authorized Official Title
CHIEF MEDICAL OFFICER
Authorized Official Phone
(509) 318-3498

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
50D0882362
Facility Type
Prison
Certificate Effective Date
June 24, 2016
Certificate Expiration Date
April 04, 2028
Laboratory Director
KENNETH LAUREN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Washington State Department Of Corrections-monroe Correctional Complex 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588955306, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 1 + 8 + 5 + 1 + 0 + 3 + 0 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1588955306.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
16550 177TH AVENUE SE, TWIN RIVERS UNIT
MONROE, WA 98272

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588955306, enumerated as an "organization" on April 27, 2011.

The provider is located at 16550 177TH AVENUE SE MONROE, WA 98272 and the phone number is (360) 794-2600.

Clinic/Center with taxonomy code 261QP2400X and a focus in Prison Health.