NPIMap

Organization Active NPI

Washington State Department of Corrections

  • Prison Health Clinic/Center
  • Tumwater, WA
National Provider Identifier
1861813834
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
WASHINGTON STATE DEPARTMENT OF CORRECTIONS
Practice address
7345 Linderson Way SW
Tumwater, WA 98501-6504
Phone
(360) 725-8700
NPI assigned
Dec 18, 2013
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Mr. Mark Robert Eliason, MBA
Title
Deputy Assistant Secretary
Phone
(360) 485-1786

Specialties & licenses 1

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

Addresses

Primary practice location

7345 Linderson Way SW
Tumwater, WA 98501-6504

Mailing address

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

Other names 1

  • DOC HQ Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Washington State Department of Corrections-Monroe Correctional Complex14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1861813834",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 LINDERSON WAY SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016504",
            "telephone_number": "360-725-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON STATE DEPARTMENT OF CORRECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "ELIASON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DEPUTY ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "360-485-1786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOC HQ Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.