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REJUVENTA MEDICAL CORP.
NPI 1013550987
Clinic/Center - Primary Care in Centralia, WA

Active since October 23, 2019
1755 KRESKY AVE., CENTRALIA, WA 98531(360) 669-0098(360) 669-0121 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2023, Aug 19, 2023, Dec 26, 2019 and 1 more (4 updates tracked since 2019).

About Rejuventa Medical Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REJUVENTA MEDICAL CORP. (NPI 1013550987) is a healthcare organization registered as a primary care in Centralia, Washington and active in the NPI registry since October 2019. The organization lists Guito C Wingfield, President, as its authorized official.

NPPES Registry Identity

NPI1013550987
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameREJUVENTA MEDICAL CORP.
Location Address1755 KRESKY AVE.Centralia, WA 98531
Mailing Address1755 Kresky Ave. Box 16Centralia, WA 98531 · (360) 669-0098 · Fax (360) 669-0121
Phone(360) 669-0098
Fax(360) 669-0121
Organization SubpartNo
Authorized OfficialGuito C WingfieldPresident · (917) 494-1002
Enumeration DateOctober 23, 2019
Last NPPES UpdateOctober 17, 20234 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1013550987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1755 KRESKY AVE., Centralia, WA 98531
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Other Identifiers 3

OtherMD00048810WA · Washington State Medical License
Other1699792242WA · Npi
Medicaid1013550987WA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GUITO WINGFIELD M.D
Clinic/Center (Primary Care)
1755 KRESKY AVE.
CENTRALIA, WA 98531
Lewis County (360) 669-0098

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rejuventa Medical Corp.'s NPI number?

The NPI number for Rejuventa Medical Corp. is 1013550987. It was assigned to this organization in the NPPES registry on October 23, 2019.

Where is Rejuventa Medical Corp. located?

Rejuventa Medical Corp. is located at 1755 Kresky Ave., Centralia, WA 98531. The listed phone number is (360) 669-0098.

What is Rejuventa Medical Corp.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Rejuventa Medical Corp. was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.