| Star Medical Clinic Inc. | |
|
1217 Mellen St Centralia WA 98531-1175 | |
| (360) 740-8546 | |
| (866) 874-1472 |
| Full Name | Star Medical Clinic Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1217 Mellen St, Centralia, Washington |
| Authorized Official Name and Position | Eric G Carlson (PRESIDENT AND CEO) |
| Authorized Official Contact | 3602695541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Medical Clinic Inc. 605 Se Prospect St Chehalis WA 98532-4308 Ph: (360) 269-5541 | Star Medical Clinic Inc. 1217 Mellen St Centralia WA 98531-1175 Ph: (360) 740-8546 |
| NPI Number | 1790037224 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 12/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790037224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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