MARYS CORNER MEDICAL CLINIC INC. PS
NPI 1104016138
Clinic/Center - Rural Health in Chehalis, WA

Q: What is Marys Corner Medical Clinic Inc. Ps's NPI number?

The NPI number for Marys Corner Medical Clinic Inc. Ps is 1104016138. It was assigned to this organization in the NPPES registry on July 26, 2007.

Q: What is Marys Corner Medical Clinic Inc. Ps's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since July 26, 2007

4254 JACKSON HIGHWAY, CHEHALIS, WA 98532(360) 262-3966(360) 262-3967 Get Directions Write a Review

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Marys Corner Medical Clinic Inc. Ps NPPES

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

MARYS CORNER MEDICAL CLINIC INC. PS (NPI 1104016138) is a healthcare organization registered as a rural health in Chehalis, Washington and active in the NPI registry since July 2007. The organization lists Kimberly H Inglis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104016138

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameMARYS CORNER MEDICAL CLINIC INC. PS

Location Address4254 JACKSON HIGHWAYChehalis, WA 98532

Mailing Address4254 Jackson HighwayChehalis, WA 98532 · (360) 262-3966 · Fax (360) 262-3967

Phone(360) 262-3966

Fax(360) 262-3967

Organization SubpartNo

Authorized OfficialKimberly H InglisOffice Manager · (360) 262-3966

Enumeration DateJuly 26, 2007

Last NPPES UpdateApril 26, 2012

✔ NPI 1104016138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD00039760 (WA)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA10004588 (WA)

4254 JACKSON HIGHWAY, Chehalis, WA 98532

Open in Google Maps ↗

Other Identifiers 6

Medicaid7132244WA

Medicaid7132764WA

Medicare OSCAR/certification503898WA

Medicare PING8875791WA

Medicare PINGAB37576WA

Medicaid1117829WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Marys Corner Medical Clinic Inc. Ps's NPI number?

The NPI number for Marys Corner Medical Clinic Inc. Ps is 1104016138. It was assigned to this organization in the NPPES registry on July 26, 2007.

Where is Marys Corner Medical Clinic Inc. Ps located?

Marys Corner Medical Clinic Inc. Ps is located at 4254 Jackson Highway, Chehalis, WA 98532. The listed phone number is (360) 262-3966.

What is Marys Corner Medical Clinic Inc. Ps's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Marys Corner Medical Clinic Inc. Ps was last updated on April 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.