Marys Corner Medical Clinic Inc. Ps
NPI 1104016138 · Rural Health Clinic/Center · Chehalis, WA
Marys Corner Medical Clinic Inc. Ps is a Rural Health Clinic/Center organization in Chehalis, WA (NPI 1104016138).
Provider details
- NPI number
- 1104016138
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Inglis, Office Manager(360) 262-3966
- License
- MD00039760 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-07-26
- Last updated
- 2012-04-26
Frequently asked questions
- What is Marys Corner Medical Clinic Inc. Ps's NPI number?
- Marys Corner Medical Clinic Inc. Ps's National Provider Identifier (NPI) is 1104016138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marys Corner Medical Clinic Inc. Ps?
- Marys Corner Medical Clinic Inc. Ps is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Marys Corner Medical Clinic Inc. Ps located?
- Marys Corner Medical Clinic Inc. Ps's practice location on file with NPPES is 4254 Jackson Highway, Chehalis, WA 98532.
- What is Marys Corner Medical Clinic Inc. Ps's phone number?
- The practice phone number listed in the NPPES registry for Marys Corner Medical Clinic Inc. Ps is (360) 262-3966.
- Who is the authorized official for Marys Corner Medical Clinic Inc. Ps?
- The authorized official listed on Marys Corner Medical Clinic Inc. Ps's NPPES record is Kimberly Inglis, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marys Corner Medical Clinic Inc. Ps's NPI active?
- Yes — Marys Corner Medical Clinic Inc. Ps's NPI (1104016138) is active in the NPPES registry as of the last update on 2012-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.