OrganizationActive
Marys Corner Medical Clinic Inc. Ps
NPI 1104016138 · Rural Health Clinic/Center · Chehalis, WA
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
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4254 Jackson Highway
Chehalis, WA 98532
Phone: (360) 262-3966
Fax: (360) 262-3967
Street-level locationGet directions
Mailing address
4254 Jackson Highway
Chehalis, WA 98532
Registry dates
- Enumerated
- 2007-07-26
- Last updated
- 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.