L G STECK MEMORIAL CLINIC P S (NPI# 1083876130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083876130 |
| Entity Type | Organization |
| Organization Name | L G STECK MEMORIAL CLINIC P S |
| Other Organization Name | NAPAVINE MEDICAL CLINIC |
| Practice Address |
305 Linhart Ave Ne Napavine WA 98565 |
| Mailing Address |
Po Box 147 Napavine WA 98565-0147 |
| Practice Telephone | 3602623990 |
| Practice Fax Number | 3602620873 |
| Mailing Telephone | 3602623990 |
| Mailing Fax Number | 3602620873 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2011-05-19 |
| Authorized Official Name | CHRISTOPHER L BREDESON (CEO) |
| Authorized Official Telephone | 3607404001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7074131 | 05 |
| Other Name | Type Code |
|---|---|
| NAPAVINE MEDICAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962664003 | L G Steck Memorial Clinic P S | Clinic/Center | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2008-06-30 |
| Street Address |
305 LINHART AVE NE |
| City | NAPAVINE |
| State | WA |
| Zip Code | 98565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316032030 | Robin A Rice | Physician Assistant | 305 Linhart Ave Ne, Napavine, WA 98565 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679087563 | Melissa Ann Yackley | Registered Nurse | 100 E Grand Blvd, Napavine, WA 98565 | 2017-11-30 |
| 1326407677 | Brianne Brumback | Specialist | 355 Linhart Ave.ne, Napavine, WA 98565 | 2016-02-15 |
| 1619213758 | The Family Health Clinic of Chiropractic, Ps | Chiropractor | 101 E Washington, Napavine, WA 98565 | 2012-12-18 |
| 1548542988 | Spencer Blosl | Specialist | 355 Linhart Avenue Ne, Napavine, WA 98565 | 2011-09-12 |
| 1477860781 | Rhonda Jo O'brien-farrar | Massage Therapist | 355 Linhart Ave Ne, Napavine, WA 98565 | 2010-09-08 |
| 1972744183 | Sherri L Heilman | Specialist | 355 Linhart Ave, Napavine, WA 98565 | 2009-03-18 |
| 1396892543 | Lewis County | Ambulance | 129 2nd Ave, Napavine, WA 98565 | 2007-01-03 |
| 1508890815 | Napavine School District | Local Education Agency (LEA) | 209 E Park, Napavine, WA 98565 | 2006-07-10 |
| 1275577140 | Napavine Family Chiropractic, Ps | Chiropractor | 355 Linhart Ave. Ne, Napavine, WA 98565 | 2006-06-15 |
| 1164975157 | Lori L Cichosz | Massage Therapist | 106 E Washington St, Napavine, WA 98565 | 2016-07-26 |
| Find all providers in zip 98565 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
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| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
| 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.