SOUTH CORRECTIONAL ENTITY
NPI 1851198212
Clinic/Center - Prison Health in Des Moines, WA
About South Correctional Entity NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH CORRECTIONAL ENTITY (NPI 1851198212) is a healthcare organization registered as a prison health in Des Moines, Washington and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Devon Schrum, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 50D2131873
South Correctional Entity (score) · Des Moines, WAOther Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 South Correctional Entity's NPI number?
The NPI number for South Correctional Entity is 1851198212. It was assigned to this organization in the NPPES registry on February 25, 2025.
Where is South Correctional Entity located?
South Correctional Entity is located at 20817 17th Ave S, Des Moines, WA 98198. The listed phone number is (206) 257-6200.
What is South Correctional Entity's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.
Does South Correctional Entity hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2131873) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for South Correctional Entity was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# South Correctional Entity · NPI 1851198212
Prison Health organization in Des Moines, Washington. Organization record, active in the CMS NPPES registry since February 25, 2025.
## Identity
- **NPI:** 1851198212 (Entity type: Organization)
- **Enumerated:** February 25, 2025
- **Primary specialty:** Clinic/Center - Prison Health · taxonomy 261QP2400X
- **Organization subpart:** No
- **Authorized official:** Devon Schrum, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 20817 17TH AVE S, Des Moines, WA 98198-7665
- **Phone:** (206) 257-6200
## Record status
- **NPPES last updated:** February 25, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851198212) · Data from the CMS NPPES public registry.