AIRWAY HEIGHTS CORRECTION CENTER (NPI# 1902197882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902197882 |
| Entity Type | Organization |
| Organization Name | AIRWAY HEIGHTS CORRECTION CENTER |
| Practice Address |
11919 W. Sprague Avenue Airway Heights WA 99001-1899 |
| Mailing Address |
Po Box 41107 Attn: Medical Disbursement Unit Olympia WA 98504-1107 |
| Practice Telephone | 5092446827 |
| Practice Fax Number | 5092446830 |
| Mailing Telephone | 3607258298 |
| Mailing Fax Number | 3605861320 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |
| 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 |
11919 W. SPRAGUE AVENUE |
| City | AIRWAY HEIGHTS |
| State | WA |
| Zip Code | 99001-1899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886573 | Andrea Kay Durst | Social Worker | 13126 W Hwy 2, Airway Heights, WA 99001 | 2020-09-16 |
| 1417423849 | Aaron Michael Cady | Counselor | 11919 E Sprague, Airway Heights, WA 99001 | 2018-10-24 |
| 1326334160 | Wililam Barry | Veterinarian | 1521 S. Mullen, Airway Heights, WA 99001 | 2011-06-21 |
| 1427373869 | Cazan & Menke Pllc | Dentist | W. 13326 14th Street, Airway Heights, WA 99001 | 2010-03-29 |
| 1790983286 | John Gerald Alent | Physical Therapist | 12721 W 14th Ave # 7, Airway Heights, WA 99001 | 2007-07-05 |
| 1366561144 | Meira Lavadour | Massage Therapist | 13106 W. Sunset Hwy, Airway Heights, WA 99001 | 2007-03-29 |
| 1487756649 | Rex Allen Menke | Dentist | 13326 W 14th Street, Airway Heights, WA 99001 | 2006-09-01 |
| 1003859638 | Sandra A. Conner | Family Medicine | 11919 W. Sprague, Pob 1899, Airway Heights, WA 99001 | 2006-06-13 |
| 1114902988 | Rhonda Marie Kerr | Pharmacist | W 11919 Sprague Ave, Airway Heights, WA 99001 | 2005-12-14 |
| 1598398158 | Katherine R Rosenkranz | Counselor | 11919 Sprague Ave, Airway Heights, WA 99001 | 2020-02-21 |
| Find all providers in zip 99001 | ||||
| Taxonomy Code | 261QP2400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Prison Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 | ||||
| City | AIRWAY HEIGHTS |
| Zip Code | 99001 |
Please comment or provide details below to improve the information on AIRWAY HEIGHTS CORRECTION CENTER.
| 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.