Organization
L. G. STECK MEMORIAL CLINIC, P. S.
Active
Other names
CENTRALIA SPECIALTY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARLEY DANIEL MILLER MD (SECERATARY)
(360) 748-0211
Entity
Organization
Contact information
Practice address
1707 COOKS HILL RD, CENTRALIA, WA 98531-9071
(360) 736-1965
(360) 736-2539
Mailing address
PO BOX 1267, CHEHALIS, WA 98532-0260
(360) 736-1965
(360) 736-2539
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7131733
—
WA
Enumeration date
06/30/2008
Last updated
10/21/2021
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