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P.C. JAIL CLINIC
NPI 1699828103
Custodial Care Facility in Tacoma, WA

Active since January 19, 2007
910 TACOMA AVE S, TACOMA, WA 98402(253) 798-4033(253) 798-4043 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About P.c. Jail Clinic NPPES

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

P.C. JAIL CLINIC (NPI 1699828103) is a healthcare organization registered as a custodial care facility in Tacoma, Washington and active in the NPI registry since January 2007. The organization lists Miguel Balderrama, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1699828103
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameP.C. JAIL CLINIC
Location Address910 TACOMA AVE STacoma, WA 98402-2104
Mailing Address910 Tacoma Ave STacoma, WA 98402-2104 · (253) 798-4033 · Fax (253) 798-4043
Phone(253) 798-4033
Fax(253) 798-4043
Organization SubpartNo
Authorized OfficialMiguel BalderramaMedical Director · (253) 798-4033
Enumeration DateJanuary 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1699828103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
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.
910 TACOMA AVE S, Tacoma, WA 98402
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Other Identifiers 1

OtherMD00034248WA · Medical License

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.

PIERCE COUNTY JAIL CLINIC
Physician Assistant (Medical)
910 TACOMA AVE S
TACOMA, WA 98402
Pierce County (253) 798-3442
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

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 P.C. Jail Clinic's NPI number?

The NPI number for P.C. Jail Clinic is 1699828103. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is P.C. Jail Clinic located?

P.C. Jail Clinic is located at 910 Tacoma Ave S, Tacoma, WA 98402. The listed phone number is (253) 798-4033.

What is P.C. Jail Clinic's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for P.C. Jail Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.