OrganizationActive
South Correctional Entity
NPI 1851198212 · Prison Health Clinic/Center · Des Moines, WA
Provider details
- NPI number
- 1851198212
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Devon Schrum, Executive Director(206) 257-6262
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
20817 17th Ave S
Des Moines, WA 98198-7665
Phone: (206) 257-6200
Approximate (ZIP-level) locationGet directions
Mailing address
20817 17th Ave S
Des Moines, WA 98198-7665
Registry dates
- Enumerated
- 2025-02-25
- Last updated
- 2025-02-25
- Certified
- 2025-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.