WASHINGTON CORRECTIONS CENTER FOR WOMEN (NPI# 1114218591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114218591 |
| Entity Type | Organization |
| Organization Name | WASHINGTON CORRECTIONS CENTER FOR WOMEN |
| Practice Address |
9601 Bujacich Rd Nw Gig Harbor WA 98332-8300 |
| Mailing Address |
Po Box 41107 Olympia WA 98504-1107 |
| Practice Telephone | 2538584217 |
| Practice Fax Number | 2535854258 |
| Mailing Telephone | 3607258298 |
| Mailing Fax Number | 3605861320 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |
| Authorized Official Name | LOUIS MCDERMOTT (HEALTHCARE FINANCE MANAGER) |
| Authorized Official Telephone | 3607258301 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEPARTMENT OF CORRECTIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2400X |
Clinic/Center Specialization: Prison Health |
Ambulatory Health Care Facilities |
| Street Address |
9601 BUJACICH RD NW |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98332-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720294655 | Ronald Alan Wiltse | Pharmacist | 9601 Bujacich Rd Nw, Gig Harbor, WA 98332-8300 | 2007-05-15 |
| 1346840105 | Zavara N Woods | Counselor | 9601 Bujacich Rd Nw, Gig Harbor, WA 98332-8300 | 2020-10-29 |
| 1588281570 | Ashley Simone Simpson | Dentist | 9601 Bujacich Rd Nw, Gig Harbor, WA 98332-8300 | 2020-06-25 |
| 1306313713 | Claire Hickman | Counselor | 9601 Bujacich Rd Nw, Gig Harbor, WA 98332-8300 | 2018-10-24 |
| 1275000697 | Nancy Marie Mazza | Counselor | 9601 Bujacich Rd Nw, Gig Harbor, WA 98332-8300 | 2018-10-24 |
| 1205303534 | Sariah Michele Wilburn | Counselor | 9601 Bujacich Rd Nw, Gig Harbor, WA 98332-8300 | 2018-10-24 |
| 1124594502 | Kimberly Mantia | Counselor | 9601 Bujacich Rd Nw, Gig Harbor, WA 98332-8300 | 2018-10-23 |
| 1700352713 | Lori M Rickert | Counselor | 9601 Bujacich Rd Nw, Gig Harbor, WA 98332-8300 | 2018-10-17 |
| 1700286358 | Lindsay Routt | Nurse Practitioner | 9601 Bujacich Rd Nw, Gig Harbor, WA 98332-8300 | 2014-09-02 |
| 1487986998 | Megan E Herdener | Nurse Practitioner | 9601 Bujacich Rd Nw, Wa Corrections Center for Women, Gig Harbor, WA 98332-8300 | 2010-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584125 | William Edmondson Wells | Counselor | Wccw, 9601 Bujacick Rd. Nw, Gig Harbor, WA 98332 | 2018-10-17 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1205252046 | Jenny Wical | Registered Nurse | 12201 Osprey Dr. Nw, Gig Harbor, WA 98332 | 2014-03-17 |
| 1134486616 | Jacinda Leigh Pickett | Pharmacist | 10990 Harbor Hill Dr, Gig Harbor, WA 98332 | 2012-04-20 |
| 1114242898 | Michael Robert Conger | Urology | 9704 Woodworth Ave Nw, Gig Harbor, WA 98332 | 2010-04-06 |
| 1346473899 | Robert Howard Lerman | Internal Medicine | 9770 44th Ave Nw, Suite 102, Gig Harbor, WA 98332 | 2009-09-01 |
| 1447406699 | Franciscan Health System | General Acute Care Hospital | 11567 Canterwood Blvd, Gig Harbor, WA 98332 | 2008-08-07 |
| 1730303249 | Richard Mason Coyner | Dentist | 7715 Pioneer Way, Gig Harbor, WA 98332 | 2007-04-13 |
| 1902978711 | Byron D Fenton | Chiropractor | 14619 Purdy Dr, Gig Harbor, WA 98332 | 2006-11-15 |
| 1063515351 | Gordon Bernstein | Radiology | 5304 W Old Stump Dr Nw, Gig Harbor, WA 98332 | 2006-09-05 |
| Find all providers in zip 98332 | ||||
| Taxonomy Code | 261QP2400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Prison Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902197882 | Airway Heights Correction Center | Clinic/Center | 11919 W. Sprague Avenue, Airway Heights, WA 99001-1899 | 2011-04-26 |
| 1194016576 | Olympic Correction Center | Clinic/Center | 11235 Hoh Mainline Rd, Forks, WA 98331-9492 | 2011-04-20 |
| 1538450911 | Larch Corrections Center | Clinic/Center | 15314 Ne Dole Valley Rd, Yacolt, WA 98675-9521 | 2011-04-20 |
| 1861813834 | Wa State Department of Corrections Headquarters | Clinic/Center | 7345 Linderson Way Sw, Tumwater, WA 98501-6504 | 2013-12-18 |
| 1588955306 | Monroe Correctional Complex | Clinic/Center | 16550 177th Ave Se, Monroe, WA 98272 | 2011-04-27 |
| 1750672572 | Cedar Creek Corrections Center | Clinic/Center | 12200 Bordeaux Road, Littlerock, WA 98556-0037 | 2011-04-27 |
| 1902197387 | Clallam Bay Corrections Center | Clinic/Center | 1830 Eagle Crest Way, Clallam Bay, WA 98326-9724 | 2011-04-20 |
| 1629369095 | Coyote Ridge Corrections Center | Clinic/Center | 1301 N Ephrata Ave, Connell, WA 99326-9601 | 2011-04-20 |
| 1164713558 | Washington State Penitentiary | Clinic/Center | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2011-04-20 |
| 1427349802 | Stafford Creek Corrections Center | Clinic/Center | 191 Constantine Way, Aberdeen, WA 98520-9504 | 2011-04-20 |
| Find all providers with the same taxonomy | ||||
| City | GIG HARBOR |
| Zip Code | 98332 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.