STAFFORD CREEK CORRECTION CENTER
NPI 1952506420
Custodial Care Facility in Aberdeen, WA
NPI Status: Active since June 15, 2007
Contact Information
191 CONSTANTINE WAY
ABERDEEN, WA
ZIP 98520
Phone: (360) 537-2167
Fax: (360) 537-2075
- Organization
- Custodial Care Facility
- CLIA Number: 50D0977882
- CLIA Cert. Type: Other
- CLIA Exp. Date: 04-04-2028
About STAFFORD CREEK CORRECTION CENTER
This page provides the complete NPI Profile along with additional information for Stafford Creek Correction Center, a provider established in Aberdeen, Washington operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1952506420 assigned on June 2007. The practitioner's primary taxonomy code is 311Z00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Marc F. Stern M.d. (Director, Health Services Doc)
- NPI
- 1952506420
- Provider Name
- STAFFORD CREEK CORRECTION CENTER
- Entity Type
- Organization
- Location Address
- 191 CONSTANTINE WAY ABERDEEN, WA 98520
- Location Phone
- (360) 537-2167
- Location Fax
- (360) 537-2075
- Mailing Address
- 191 CONSTANTINE WAY ABERDEEN, WA 98520
- Mailing Phone
- (360) 537-2167
- Mailing Fax
- (360) 537-2075
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-15-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
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
Custodial Care Facility
- Taxonomy Code
- 311Z00000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251K00000X | Agencies | Public Health or Welfare | |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 3 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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
- 50D0977882
- Facility Type
- Other
- Certificate Effective Date
- September 08, 2000
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- RYAN HERRINGTON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Stafford Creek Correction Center 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 1952506420, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
ABERDEEN, WA 98520
ABERDEEN, WA 98520
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952506420, enumerated as an "organization" on June 15, 2007.
The provider is located at 191 CONSTANTINE WAY ABERDEEN, WA 98520 and the phone number is (360) 537-2167.
Custodial Care Facility with taxonomy code 311Z00000X.
