WASHINGTON STATE DEPARTMENT OF CORRECTIONS- CEDAR CREEK CORRECTIONS CE
NPI 1750672572
Clinic/Center - Prison Health in Littlerock, WA

Active since April 27, 2011
12200 BORDEAUX ROAD, LITTLEROCK, WA 98556(360) 359-4100(360) 664-3586 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Sep 6, 2024 (2 updates tracked since 2024).

About Washington State Department Of Corrections- Cedar Creek Corrections Ce NPPES

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

WASHINGTON STATE DEPARTMENT OF CORRECTIONS- CEDAR CREEK CORRECTIONS CE (NPI 1750672572) is a healthcare organization registered as a prison health in Littlerock, Washington and active in the NPI registry since April 2011. The organization lists Maryann Curl, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1750672572
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameWASHINGTON STATE DEPARTMENT OF CORRECTIONS- CEDAR CREEK CORRECTIONS CE
Location Address12200 BORDEAUX ROADLittlerock, WA 98556-0037
Mailing AddressPo Box 41100, Mail Stop 41100Olympia, WA 98504-1100 · (360) 725-8213 · Fax (360) 586-1320
Fax(360) 664-3586
Organization SubpartYesParent: Department Of Corrections
Authorized OfficialMaryann CurlChief Medical Officer · (509) 318-3498
Enumeration DateApril 27, 2011
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPI 1750672572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
12200 BORDEAUX ROAD, Littlerock, WA 98556

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
12200 BORDEAUX ROAD, CEDAR CREEK CORRECTIONS CENTER
LITTLEROCK, WA 98556

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 Washington State Department Of Corrections- Cedar Creek Corrections Ce's NPI number?

The NPI number for Washington State Department Of Corrections- Cedar Creek Corrections Ce is 1750672572. It was assigned to this organization in the NPPES registry on April 27, 2011.

Where is Washington State Department Of Corrections- Cedar Creek Corrections Ce located?

Washington State Department Of Corrections- Cedar Creek Corrections Ce is located at 12200 Bordeaux Road, Littlerock, WA 98556. The listed phone number is (360) 359-4100.

What is Washington State Department Of Corrections- Cedar Creek Corrections Ce's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

When was this NPI record last updated?

The NPPES record for Washington State Department Of Corrections- Cedar Creek Corrections Ce was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.