OLYMPIC CORRECTION CENTER (NPI# 1194016576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194016576 |
| Entity Type | Organization |
| Organization Name | OLYMPIC CORRECTION CENTER |
| Practice Address |
11235 Hoh Mainline Rd Forks WA 98331-9492 |
| Mailing Address |
Po Box 41107 Olympia WA 98504-1107 |
| Practice Telephone | 3603746181 |
| Practice Fax Number | 3603748238 |
| 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 |
11235 HOH MAINLINE RD |
| City | FORKS |
| State | WA |
| Zip Code | 98331-9492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518509520 | Sasha Rose Jensen | Nurse Practitioner | 460 West G Street, Forks, WA 98331 | 2019-10-10 |
| 1497298046 | Cathy A. Clark L.m.p. | Massage Therapist | 186-375 Hwy. 101, Forks, WA 98331 | 2016-11-30 |
| 1841447752 | Concerned Citizens | Early Intervention Provider Agency | 945 S Forks Ave, Forks, WA 98331 | 2008-08-21 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1508078627 | John M Shima Md Ps | Internal Medicine | 460 West E St, Forks, WA 98331 | 2007-05-03 |
| 1578612875 | Anea Beck Ownes | Massage Therapist | 230 Willow Ave, Forks, WA 98331 | 2007-01-09 |
| 1295820173 | Howard Edward Berris | Dentist | 37325 W 12 Mile Rd, Suite B, Farmington Hills, MI 98331 | 2006-10-04 |
| 1760455075 | Richard Lee Dickson | Family Medicine | 481 W E St, Forks, WA 98331 | 2006-02-08 |
| 1700382843 | Vernon Rondeau | Registered Nurse | 560 Quileute Heights, La Push, WA 98331 | 2018-04-05 |
| 1962769760 | Anand Selvam | Emergency Medicine | 530 Bogachiel Way, Forks, WA 98331 | 2012-04-18 |
| Find all providers in zip 98331 | ||||
| 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 |
| 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 |
| 1114218591 | Washington Corrections Center for Women | Clinic/Center | 9601 Bujacich Rd Nw, Gig Harbor, WA 98332-8300 | 2011-04-20 |
| 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 | ||||
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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.