1. Home
  2. Directory
  3. Washington
  4. Aberdeen
  5. Custodial Care Facility
  6. NPI Profile

STAFFORD CREEK CORRECTION CENTER
NPI 1952506420
Custodial Care Facility in Aberdeen, WA

Active since June 15, 2007CLIA 50D0977882 · Microscopy
191 CONSTANTINE WAY, ABERDEEN, WA 98520(360) 537-2167(360) 537-2075 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Stafford Creek Correction Center NPPES

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

STAFFORD CREEK CORRECTION CENTER (NPI 1952506420) is a healthcare organization registered as a custodial care facility in Aberdeen, Washington and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Marc F. Stern, Director, Health Services Doc, as its authorized official.

NPPES Registry Identity

NPI1952506420
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameSTAFFORD CREEK CORRECTION CENTER
Location Address191 CONSTANTINE WAYAberdeen, WA 98520-9504
Mailing Address191 Constantine WayAberdeen, WA 98520-9504 · (360) 537-2167 · Fax (360) 537-2075
Phone(360) 537-2167
Fax(360) 537-2075
Organization SubpartNo
Authorized OfficialMarc F. SternDirector, Health Services Doc · (360) 725-8700
Enumeration DateJune 15, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1952506420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

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 for Provider-Performed Microscopy Procedures (PPMP) 50D0977882

Stafford Creek Correctional Center · Aberdeen, WA
Active · expires Apr 4, 2028
CLIA Number50D0977882
Laboratory TypeOther
Certificate Effective DateSeptember 8, 2000
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRyan Herrington
Laboratory Phone(360) 537-1800
Laboratory LocationStafford Creek Correctional Center191 Constantine Way, Aberdeen, WA 98520
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MS. KIRSTIN MICHELLE LOCKETT
Registered Nurse (Addiction (Substance Use Disorder))
191 CONSTANTINE WAY
ABERDEEN, WA 98520
Grays Harbor County (360) 537-1800
HARBOR HEIGHTS
Case Manager/Care Coordinator
191 CONSTANTINE WAY
ABERDEEN, WA 98520
Grays Harbor County (360) 537-2510
WASHINGTON STATE DEPARTMENT OF CORRECTIONS STAFFORD CREEK CORRECTIONS
Clinic/Center (Prison Health)
191 CONSTANTINE WAY
ABERDEEN, WA 98520
Grays Harbor County (360) 537-1800
DR. TERESA TORRES PSY.D
Psychologist (Counseling)
191 CONSTANTINE WAY
ABERDEEN, WA 98520
Grays Harbor County (360) 536-1800

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 Stafford Creek Correction Center's NPI number?

The NPI number for Stafford Creek Correction Center is 1952506420. It was assigned to this organization in the NPPES registry on June 15, 2007.

Where is Stafford Creek Correction Center located?

Stafford Creek Correction Center is located at 191 Constantine Way, Aberdeen, WA 98520. The listed phone number is (360) 537-2167.

What is Stafford Creek Correction Center's specialty?

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

Does Stafford Creek Correction Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0977882) 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 Stafford Creek Correction Center was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.