L.G. STECK MEMORIAL CLINIC, PS (NPI# 1710929252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710929252 |
| Entity Type | Organization |
| Organization Name | L.G. STECK MEMORIAL CLINIC, PS |
| Other Organization Name | STECK MEDICAL GROUP |
| Practice Address |
1299 Bishop Rd Chehalis WA 98532-8758 |
| Mailing Address |
Po Box 1267 Chehalis WA 98532-0260 |
| Practice Telephone | 3607480211 |
| Practice Fax Number | 3607488732 |
| Mailing Telephone | 3607480211 |
| Mailing Fax Number | 3607488732 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | MR. HARLEY DANIEL MILLER (SECRETARY) |
| Authorized Official Telephone | 3607480211 |
| Authorized Official Credential | MD |
| 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 |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICAID DME | 9039751 | 01 |
| WA | MEDICAID NAPAVINE MEDICAL | 7074131 | 01 |
| WA | MEDICAID CENTRALIA SPECIA | 7131733 | 01 |
| WA | DMERC SUPPLIER ID | 0568510001 | 01 |
| WA | MEDICAID L G STECK MEMORI | 7131725 | 01 |
| WA | 7069883 | 05 | |
| WA | RAILROAD MEDICARE | C46630 | 01 |
| WA | MEDICAID CHIROPRACTOR | 02025138 | 01 |
| WA | LABOR & INDUSTRIES | 0032700 | 01 |
| WA | MEDICAID AUDIOLOGY | 7098767 | 01 |
| Other Name | Type Code |
|---|---|
| Steck Medical Group | Doing Business As Name - Organization |
| Street Address |
1299 BISHOP RD |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-8758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316401722 | Jennifer Dianna Brown | Registered Nurse | 1299 Bishop Rd, Chehalis, WA 98532-8758 | 2019-01-30 |
| 1457861114 | Molly Smith | Nurse Practitioner | 1299 Bishop Rd, Chehalis, WA 98532-8758 | 2017-10-09 |
| 1144578394 | Foot and Ankle Surgical Associates Inc Ps | Podiatrist | 1299 Bishop Rd, Chehalis, WA 98532-8758 | 2012-08-20 |
| 1932363264 | Jessie Norton | Physician Assistant | 1299 Bishop Rd, Chehalis, WA 98532-8758 | 2008-07-16 |
| 1720248701 | Kaitlin G Bock | Nurse Practitioner | 1299 Bishop Rd, Chehalis, WA 98532-8758 | 2008-06-12 |
| 1619187523 | Brett Michael Shaffer | Emergency Medicine | 1299 Bishop Rd, Chehalis, WA 98532-8758 | 2007-05-23 |
| 1205959459 | Esther Laura Kittle | Family Medicine | 1299 Bishop Rd, Chehalis, WA 98532-8758 | 2007-04-10 |
| 1427198852 | Cary Jasper | Nurse Practitioner | 1299 Bishop Rd, Chehalis, WA 98532-8758 | 2007-02-07 |
| 1174673156 | James Philip Williams | Counselor | 1299 Bishop Rd, Chehalis, WA 98532-8758 | 2007-01-11 |
| 1780779413 | Ronald J Williams | Emergency Medicine | 1299 Bishop Rd, Chehalis, WA 98532 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 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.