WASHINGTON STATE DEPARTMENT OF CORRECTIONS CLALLAM BAY CORRECTIONS CEN
NPI 1902197387
Clinic/Center - Prison Health in Clallam Bay, WA

NPI Status: Active since April 20, 2011

Contact Information

1830 EAGLE CREST WAY
CLALLAM BAY, WA
ZIP 98326
Phone: (360) 203-1500
Fax: (360) 664-3586

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  • Organization
  • Clinic/Center
  • Prison Health
  • CLIA Number: 50D0955707
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 04-04-2028

About WASHINGTON STATE DEPARTMENT OF CORRECTIONS CLALLAM BAY CORRECTIONS CEN

This page provides the complete NPI Profile along with additional information for Washington State Department Of Corrections Clallam Bay Corrections Cen, a provider established in Clallam Bay, Washington operating as a Clinic/center, focusing in prison health . The healthcare provider is registered in the NPI registry with number 1902197387 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 Cur M.d. (Chief Medical Officer)

NPI
1902197387
Provider Name
WASHINGTON STATE DEPARTMENT OF CORRECTIONS CLALLAM BAY CORRECTIONS CEN
Entity Type
Organization
Location Address
1830 EAGLE CREST WAY CLALLAM BAY, WA 98326
Location Phone
(360) 203-1500
Location Fax
(360) 664-3586
Mailing Address
PO BOX 41100, MAIL STOP 41100 OLYMPIA, WA 98504
Mailing Phone
(360) 725-8213
Mailing Fax
(360) 664-3586
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-20-2011
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 CUR 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
50D0955707
Facility Type
Other
Certificate Effective Date
August 02, 2002
Certificate Expiration Date
April 04, 2028
Laboratory Director
LISA L. ANDERSON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Washington State Department Of Corrections Clallam Bay Corrections Cen 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 1902197387, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 0 → 0 1 → 2 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 2 + 9 + 1 + 4 + 3 + 1 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1902197387.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
1830 EAGLE CREST WAY, CLALLAM BAY CORRECTIONS CENTER
CLALLUM BAY, WA 98326
Dentist
1830 EAGLE CREST WAY
CLALLAM BAY, WA 98326
Registered Nurse (Case Management)
1830 EAGLE CREST WAY
CLALLAM BAY, WA 98326

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902197387, enumerated as an "organization" on April 20, 2011.

The provider is located at 1830 EAGLE CREST WAY CLALLAM BAY, WA 98326 and the phone number is (360) 203-1500.

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