| Steck Medical Group | |
|
1299 Bishop Rd Chehalis WA 98532-8758 | |
| (360) 748-0211 | |
| (360) 748-8732 |
| Full Name | Steck Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1299 Bishop Rd, Chehalis, Washington |
| Authorized Official Name and Position | Terry Lee Leno (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3607480211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steck Medical Group Po Box 1267 Chehalis WA 98532-0260 Ph: (360) 748-0211 | Steck Medical Group 1299 Bishop Rd Chehalis WA 98532-8758 Ph: (360) 748-0211 |
| NPI Number | 1710929252 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 10/21/2021 |
| Certification Date | 10/21/2021 |
| Medicare PECOS PAC ID | 7012825342 |
|---|---|
| Medicare Enrollment ID | O20051209000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710929252 | NPI | - | NPPES |
| 0032700 | Other | WA | LABOR & INDUSTRIES |
| 0568510001 | Other | WA | DMERC SUPPLIER ID |
| 7131733 | Other | WA | MEDICAID CENTRALIA SPECIA |
| 9039751 | Other | WA | MEDICAID DME |
| C46630 | Other | WA | RAILROAD MEDICARE |
| 02025138 | Other | WA | MEDICAID CHIROPRACTOR |
| 7131725 | Other | WA | MEDICAID L G STECK MEMORI |
| 7069883 | Medicaid | WA | |
| 7074131 | Other | WA | MEDICAID NAPAVINE MEDICAL |
| 7098767 | Other | WA | MEDICAID AUDIOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Washington) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 261QR1300X | Clinic/center - Rural Health | () | Secondary |
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