Centralia Specialty Center

LBN: L. G. Steck Memorial Clinic, P. S.
Centralia Specialty Center is an health care organization with primary practice located at 1707 Cooks Hill Rd , Centralia WA 98531-9071. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. L. G. Steck Memorial Clinic, P. S. can be contacted via phone (360) 736-1965, or through Miller, Harley Daniel via phone (360) 748-0211.

Contact Information

Primary practice address
1707 Cooks Hill Rd Centralia WA 98531-9071
Phone: (360) 736-1965
Fax: (360) 736-2539
Website:
Map and Directions
Authorized official contact:
Name: Miller, Harley Daniel Doctor of Medicine (MD)
Phone: (360) 748-0211

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1962664003
LBN Legal business name L. G. Steck Memorial Clinic, P. S.
DBA Doing business as Centralia Specialty Center
Authorized official Miller, Harley Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2008
Last updated Oct 21st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962664003 NPPES
Washington MEDICAID 7131733

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