L. G. Steck Memorial Clinic, P. S.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

L. G. STECK MEMORIAL CLINIC, P. S.

Doing business as

Big Rock Health Clinic

Practice address

6342 Littlerock Rd SW
Tumwater, WA 98512-7332

Phone

(360) 357-8822

Fax

(360) 357-8823

NPI assigned

Jun 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher L Bredeson

Title

Ceo

Phone

(360) 740-4001

Specialties & licenses 1

Addresses

Other names 1

• Big Rock Health Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1528227501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "NAPAVINE",
            "state": "WA",
            "postal_code": "985650418",
            "telephone_number": "360-357-8822",
            "fax_number": "360-357-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6342 LITTLEROCK RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127332",
            "telephone_number": "360-357-8822",
            "fax_number": "360-357-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. G. STECK MEMORIAL CLINIC, P. S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "BREDESON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-740-4001"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Rock Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James D. Krieger, L.M.P.
• Amanda Marie Kugel, D.C.
• Mackenzie Kuhar
• W D Kurz, D.D.S.
• Cassieopeia Kyllonen, LMP
• Bradley Allen Labrador, MSW
• Sadhana Laila Rose Lake, DOULA
• Mark Khai Lam, D.C.
• Lance Bowers DMD PLLC
• Jeff Landon

• Multi-Specialty Clinic/Center in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.