Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARYS CORNER MEDICAL CLINIC INC PS
Active OrganizationMARYS CORNER MEDICAL CLINIC INC PS is a Family Medicine organization located in CHEHALIS, Washington. NPI 1194973628 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CHEHALIS, WA
Registration Details
- NPI Number
- 1194973628
- Provider Type
- Organization
- NPI Issued
- Sep 9, 2008 (17.910055958841 yrs)
- Last Updated
- Apr 30, 2012
- Licenses
-
MD00039760 (WA)OP00000823 (WA)MD00039760 (WA)AP30005675 (WA)PA0004588 (WA)
Practice Information
- Address
-
4254 JACKSON HWYCHEHALIS, WA, 98532Browse WA providers · Browse ZIP 98532
- Phone
- 3602623966
- Fax
- 3602623967
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Rural Health Clinic
- Additional Specialty
- Rural Health Clinic
- Additional Specialty
- Rural Health Clinic
- Additional Specialty
- Rural Health Clinic
Other Family Medicine Organizations in CHEHALIS, WA
| Name | NPI |
|---|---|
| WOOTEN PRIMARY CARE, LLC | 1235186891 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.