L G STECK MEMORIAL CLINIC P S (NPI# 1962664003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962664003 |
| Entity Type | Organization |
| Organization Name | L G STECK MEMORIAL CLINIC P S |
| Other Organization Name | CENTRALIA SPECIALTY CENTER |
| Practice Address |
1707 Cooks Hill Rd Centralia WA 98531-9071 |
| Mailing Address |
Po Box 1267 Chehalis WA 98532-0260 |
| Practice Telephone | 3607361965 |
| Practice Fax Number | 3607362539 |
| Mailing Telephone | 3607361965 |
| Mailing Fax Number | 3607362539 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | MR. HARLEY DANIEL MILLER (SECERATARY) |
| Authorized Official Telephone | 3607480211 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7131733 | 05 |
| Other Name | Type Code |
|---|---|
| CENTRALIA SPECIALTY CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083876130 | L G Steck Memorial Clinic P S | Clinic/Center | 305 Linhart Ave Ne, Napavine, WA 98565 | 2008-06-30 |
| Street Address |
1707 COOKS HILL RD |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-9071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699792242 | Guito Wingfield | Internal Medicine | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-07-17 |
| 1598365868 | Chala Gray | Counselor | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2020-10-27 |
| 1376141374 | Karl Beall | Recreation Therapist | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2020-10-12 |
| 1780206409 | Justin Wimpress | Peer Specialist | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2020-05-15 |
| 1073609442 | Terry L Wilson | Physician Assistant | 1707 Cooks Hill Rd, Centralia, WA 98531 | 2006-10-05 |
| 1841309465 | Christine G Pfeiffer | Physician Assistant | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-08-29 |
| 1306867700 | Wanda Jimenez | Family Medicine | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1801199575 | Pope's Kids Place | Clinic/Center | 230 Washington Way, Centralia, WA 98531-9325 | 2010-12-17 |
| 1740421536 | Physician Services Corp of Southern Illinois | Clinic/Center | 430 N Pleasant Ave, Centralia, IL 62801-3006 | 2009-03-09 |
| 1164615316 | Physician Groups, Lc | Clinic/Center | 1021 E Highway 22, Centralia, MO 65240-1183 | 2007-08-21 |
| 1699747279 | Community Healthcare System, Inc | Clinic/Center | 606 1st St, Centralia, KS 66415-9637 | 2006-02-07 |
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| 1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
| 1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
| 1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
| 1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
| 1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
| 1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
| 1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
| Find all providers with the same taxonomy | ||||
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| 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.