L. G. STECK MEMORIAL CLINIC P. S. NPI 1962664003

NPI Information

NPI: 1962664003
Provider Name: L. G. STECK MEMORIAL CLINIC, P. S.

Doing Business As: CENTRALIA SPECIALTY CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1707 COOKS HILL RD
CENTRALIA, WA
ZIP 98531
Phone: (360) 736-1965
Get Directions

L. G. STECK MEMORIAL CLINIC, P. S. is a rural health clinic center in Centralia, WA. L. G. STECK MEMORIAL CLINIC, P. S. NPI is 1962664003. The provider is registered as an organization entity type.
The provider Is Doing Business As Centralia Specialty Center.

The provider's business location address is:

1707 COOKS HILL RD
CENTRALIA, WA
ZIP 98531-071
Phone: (360) 736-1965
Fax: (360) 736-2539

The provider's authorized official is Harley Daniel Miller .
The authorized official title is Seceratary and has the following contact phone number (360) 748-0211.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 10/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7131733	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »