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Marys Corner Medical Clinic Inc. Ps

Rural Health Clinic/Center in Chehalis, WA · enumerated 2007 · authorized official Kimberly Inglis, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104016138

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Registry record

Entity type Organization (Type 2)
Legal business name Marys Corner Medical Clinic Inc. Ps
Practice address 4254 Jackson Highway, Chehalis, WA, 98532
Phone (360) 262-3966
Fax (360) 262-3967
Enumeration date Jul 26, 2007
Last updated in NPPES Apr 26, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD00039760 (WA) Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA10004588 (WA) Secondary

Authorized official

Name Kimberly Inglis
Title Office Manager
Phone (360) 262-3966

Other identifiers

Identifier Type State Issuer
7132764 Medicaid WA -
1117829 Medicaid WA -
7132244 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Marys Corner Medical Clinic Inc. Ps?
The NPI for Marys Corner Medical Clinic Inc. Ps is 1104016138, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Marys Corner Medical Clinic Inc. Ps?
NPPES lists Kimberly Inglis (Office Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-04-26.