| Centralia Specialty Center | |
|
1707 Cooks Hill Rd Centralia WA 98531-9071 | |
| (360) 736-1965 | |
| (360) 736-2539 |
| Full Name | Centralia Specialty Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1707 Cooks Hill Rd, Centralia, Washington |
| Authorized Official Name and Position | Harley Daniel Miller (SECERATARY) |
| Authorized Official Contact | 3607480211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centralia Specialty Center Po Box 1267 Chehalis WA 98532-0260 Ph: (360) 736-1965 | Centralia Specialty Center 1707 Cooks Hill Rd Centralia WA 98531-9071 Ph: (360) 736-1965 |
| NPI Number | 1962664003 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 10/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962664003 | NPI | - | NPPES |
| 7131733 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Rejuventa Medical Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1755 Kresky Ave., Centralia, WA 98531 Phone: 360-669-0098 Fax: 360-669-0121 | |
Washington Park Medical Center, Inc Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Centralia College Blvd, Centralia, WA 98531 Phone: 360-736-0771 Fax: 360-736-4867 | |
Dr. Thomas Cooke Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1217 Mellen St, Centralia, WA 98531 Phone: 360-736-4021 Fax: 360-736-3541 | |
Lewis County Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Harrison Ave, Centralia, WA 98531 Phone: 360-736-5405 Fax: 360-736-5620 | |
Pmg Sw Wa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1010 S Scheuber Rd, Centralia, WA 98531 Phone: 360-827-7966 | |
Cascade Family Medical Clinic Inc Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-7623 Fax: 360-736-4074 | |
Valley View Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Way, Centralia, WA 98531 Phone: 360-388-3259 Fax: 360-807-4933 |