Prov Centralia Internal Medicine – Specialist, NPI 1124117197

Prov Centralia Internal Medicine is a healthcare provider. based in Seattle, Washington. specializing in Specialist. The NPI Number for Prov Centralia Internal Medicine is 1124117197

Main info

Organization
Inactive
Name
Prov Centralia Internal Medicine
NPI
1124117197
Phone
(425) 525-6778
Address
PO BOX 34439
Deactivation Date
23 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness80
Years active:0State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Prov Centralia Internal Medicine

  • PO BOX 34439

    SEATTLE, WA 981241439

    Phone: (425) 525-6778

    Fax: (425) 525-6700

    Type: Mailing

  • 1010, South Scheuber Road, Centralia, Lewis County, Washington, 98531, United States

    SUITES 3 & 4

    CENTRALIA, WA 985318892

    Phone: (360) 807-7966

    Fax: (360) 807-7977

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98124)

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Reviews

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Frequently asked questions

Can I verify Prov Centralia Internal Medicine with an NPI only?
You can start verification with NPI 1124117197 for Prov Centralia Internal Medicine, then check state licensing separately.
Why is Prov Centralia Internal Medicine marked inactive in the NPI directory?
The public NPI listing for Prov Centralia Internal Medicine is not currently active; confirm directly with the practice or licensing boards.
What is Prov Centralia Internal Medicine's primary classification?
Other Service Providers is the headline specialty for Prov Centralia Internal Medicine here. Clinical services aligned with this taxonomy classification.
What address line appears for Prov Centralia Internal Medicine?
Prov Centralia Internal Medicine's geographic hint is Seattle, Washington in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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