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STAR MEDICAL CLINIC INC.
NPI 1790037224
Clinic/Center in Centralia, WA

Active since October 08, 2012
1217 MELLEN ST, CENTRALIA, WA 98531(360) 740-8546(866) 874-1472 Get Directions Write a Review

NPPES record last updated: December 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Star Medical Clinic Inc. NPPES

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

STAR MEDICAL CLINIC INC. (NPI 1790037224) is a healthcare organization registered as a clinic/center in Centralia, Washington and active in the NPI registry since October 2012. The organization lists Eric G Carlson, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1790037224
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSTAR MEDICAL CLINIC INC.
Location Address1217 MELLEN STCentralia, WA 98531-1175
Mailing Address605 Se Prospect StChehalis, WA 98532-4308 · (360) 269-5541 · Fax (866) 874-1472
Phone(360) 740-8546
Fax(866) 874-1472
Organization SubpartNo
Authorized OfficialEric G CarlsonPresident And Ceo · (360) 269-5541
Enumeration DateOctober 8, 2012
Last NPPES UpdateDecember 28, 2012
✔ NPI 1790037224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1217 MELLEN ST, Centralia, WA 98531
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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. THOMAS COOKE
Family Medicine
1217 MELLEN ST
CENTRALIA, WA 98531
Lewis County (360) 736-4021

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 Star Medical Clinic Inc.'s NPI number?

The NPI number for Star Medical Clinic Inc. is 1790037224. It was assigned to this organization in the NPPES registry on October 8, 2012.

Where is Star Medical Clinic Inc. located?

Star Medical Clinic Inc. is located at 1217 Mellen St, Centralia, WA 98531. The listed phone number is (360) 740-8546.

What is Star Medical Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Star Medical Clinic Inc. was last updated on December 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.