MARYS CORNER MEDICAL CLINIC INC PS – NPI #1194973628
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
MARYS CORNER MEDICAL CLINIC INC PS is a provider located in CHEHALIS, WA. NPPES has assigned the NPI number 1194973628 to MARYS CORNER MEDICAL CLINIC INC PS on September 09, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is MARYS CORNER MEDICAL CLINIC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 14 years ago on Apr 30, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARYS CORNER MEDICAL CLINIC INC PS below.
NPI Profile for
MARYS CORNER MEDICAL CLINIC INC PS
(about 18 years ago)
CHEHALIS, WA 98532 Phone: (360) 262-3966 Fax: (360) 262-3967
CHEHALIS, WA 98532 Phone: (360) 262-3966 Fax: (360) 262-3967
OFFICE MANAGER
Phone: (360) 262-3966
Identifiers for MARYS CORNER MEDICAL CLINIC INC PS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | WA | 7132244 | |
| MEDICAID | WA | 7132764 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
WA | MD00039760 |
| 363LF0000X - Nurse Practitioner / Family |
WA | AP30005675 |
| 363AM0700X - Physician Assistant / Medical |
WA | PA10004588 |
| 261QR1300X - Clinic/Center / Rural Health |
WA | MD00039760 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.