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Star Medical Clinic Inc.

NPI 1790037224ActiveOrganization· Clinic/Center· Centralia, WA

Clinic/Center in Centralia, Washington, registered in NPPES in October 2012. The authorized official on file is Eric G. Carlson, President And Ceo.

Overview

NPI1790037224
StatusActive
Entity typeOrganization
NPI issuedOct 8, 2012
Last updated in NPPESDec 28, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in Centralia

All Clinic/Center providers in Washington