NPIMap

Organization Active NPI

Washington State Department of Corrections-Monroe Correctional Complex

  • Prison Health Clinic/Center
  • Monroe, WA
National Provider Identifier
1588955306
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
WASHINGTON STATE DEPARTMENT OF CORRECTIONS-MONROE CORRECTIONAL COMPLEX
Practice address
16550 177TH Avenue SE
Monroe, WA 98272
Phone
(360) 794-2600
Fax
(360) 794-2871
NPI assigned
Apr 27, 2011
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DEPARTMENT OF CORRECTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maryann Curl, M.D.
Title
Chief Medical Officer
Phone
(509) 318-3498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X NU Primary

Addresses

Primary practice location

16550 177TH Avenue SE
Monroe, WA 98272

Mailing address

PO Box 41100, Mail Stop 41100
Olympia, WA 98504-1100
Phone (360) 725-8213

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0882362Monroe Correctional Complex16550 177TH Ave SE, Monroe, WA 98272Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Washington State Department of Corrections Washington Corrections Ce14 organizations share this tax ID, including this one
Part of
Washington State Department of Corrections Washington Corrections Ce

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

16550 177th Ave SE
Monroe, WA 98272
Phone (360) 794-2400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1588955306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41100, MAIL STOP 41100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985041100",
            "telephone_number": "360-725-8213",
            "fax_number": "360-586-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 177TH AVENUE SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "98272",
            "telephone_number": "360-794-2600",
            "fax_number": "360-794-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON STATE DEPARTMENT OF CORRECTIONS-MONROE CORRECTIONAL COMPLEX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF CORRECTIONS",
        "enumeration_date": "2011-04-27",
        "last_updated": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "CURL",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "509-318-3498",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.