Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Correctional Entity

Organization Prison Health Clinic/Center · NPI 1851198212

South Correctional Entity is a Prison Health Clinic/Center in Des Moines, Washington. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

20817 17th Ave S
Des Moines, WA 98198-7665
Phone: (206) 257-6200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prison Health Clinic/Center (primary) Taxonomy 261QP2400X

Record details

NPI number1851198212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devon Schrum — Executive Director · (206) 257-6262
NPI enumeratedFebruary 25, 2025
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 19, 2025
Mailing address20817 17th Ave S, Des Moines, WA 98198-7665