# WASHINGTON STATE DEPARTMENT OF CORRECTIONS STAFFORD CREEK CORRECTIONS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEPARTMENT OF CORRECTIONS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427349802
- **Legal business name:** DEPARTMENT OF CORRECTIONS
- **Authorized official:** MARY ANN CURL M.D. (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (509) 318-3498

## Contact information

- **Practice address:** 191 CONSTANTINE WAY, ABERDEEN, WA 98520
- **Practice address phone:** (360) 537-1800
- **Practice address fax:** (360) 537-2075
- **Mailing address:** PO BOX 41100, MAIL STOP 41100, OLYMPIA, WA 98504-1100
- **Mailing address phone:** (360) 725-8213
- **Mailing address fax:** (360) 586-1320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2011
- **Last updated:** 09/23/2024