South Correctional Entity
South Correctional Entity is a healthcare organization registered as Prison Health Clinic/Center in Des Moines, WA, holding Type 2 (organization) NPI 1851198212 since 2025. The authorized official on file is Devon Schrum, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1851198212 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | South Correctional Entity |
| Practice address | 20817 17TH AVE S, Des Moines, WA, 98198 |
| Phone | 2062576200 |
| Enumeration date | 2025-02-25 |
| Last updated in NPPES | 2025-02-25 |
Authorized official
| Name | Devon Schrum |
|---|---|
| Title | Executive Director |
| Phone | 2062576262 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2400X | Prison Health Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: South Correctional Entity NPI: 1851198212 Taxonomy: 261QP2400X (Prison Health Clinic/Center) Address: 20817 17TH AVE S, Des Moines, WA, 98198
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1982933776 | Rita Whitman | Individual | Family Nurse Practitioner | Des Moines, WA |
| 1689527871 | Traci Ohlsen | Individual | Registered Nurse | Des Moines, WA |
| 1457204455 | Michelle Cooper | Individual | Registered Nurse | Des Moines, WA |
| 1831042878 | Maya Kemp | Individual | Registered Nurse | Des Moines, WA |
| 1891648622 | Melissa Patridge | Individual | Licensed Practical Nurse | Des Moines, WA |
| 1104779842 | Arthur Wangeci | Individual | Licensed Practical Nurse | Des Moines, WA |
| 1508710096 | Anna Hernandez | Individual | Registered Nurse | Des Moines, WA |
| 1659226207 | Michelle Mijal | Individual | Registered Nurse | Des Moines, WA |
Verify this record
Cross-check NPI 1851198212 against the authoritative CMS record: view South Correctional Entity on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is South Correctional Entity located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-02-25.