MARYS CORNER MEDICAL CLINIC INC PS
NPI 1194973628
Family Medicine 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 1194973628. It was assigned to this organization in the NPPES registry on September 9, 2008. The provider was formerly known as Marys Corner Medical Clinic.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 09, 2008

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

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 1194973628), doing business as Marys Corner Medical Clinic, is a healthcare organization registered as a family medicine in Chehalis, Washington and active in the NPI registry since September 2008. The organization lists Kimberly Hope Inglis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194973628

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMARYS CORNER MEDICAL CLINIC INC PS

Location Address4254 JACKSON HWYChehalis, WA 98532

Mailing Address4254 Jackson Hwy.Chehalis, WA 98532 · (360) 262-3966 · Fax (360) 262-3967

Phone(360) 262-3966

Fax(360) 262-3967

Organization SubpartNo

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

Enumeration DateSeptember 9, 2008

Last NPPES UpdateApril 30, 2012

✔ NPI 1194973628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WA · OP00000823✔ Licensed in WA · MD00039760

Definition

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.

Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X · License OP00000823 (WA), MD00039760 (WA), AP30005675 (WA), PA0004588 (WA)

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

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP30005675 (WA)

4254 JACKSON HWY, Chehalis, WA 98532

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Other Names 1

Former Legal Business NameMarys Corner Medical Clinic

Other Identifiers 4

Medicare OSCAR/certification503898WA

Medicaid7132764WA

Medicare PING8875791WA

Medicaid7132244WA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 10

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

MELISSA GOOD

Counselor (Mental Health)