NPIMap

Organization Active NPI

L G Steck Memorial Clinic P S

Doing business as Steck Medical Group

  • Multi-Specialty Clinic/Center
  • Chehalis, WA
National Provider Identifier
1710929252
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
L G STECK MEMORIAL CLINIC P S
Doing business as
Steck Medical Group
Practice address
1299 Bishop Rd
Chehalis, WA 98532-8758
Phone
(360) 748-0211
Fax
(360) 748-8732
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Terry Lee Leno
Title
Chief Financial Officer
Phone
(360) 748-0211

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X WA
Multi-Specialty Clinic/Center 261QM1300X Primary
Rural Health Clinic/Center 261QR1300X

Addresses

Primary practice location

1299 Bishop Rd
Chehalis, WA 98532-8758

Mailing address

PO Box 1267
Chehalis, WA 98532-0260
Phone (360) 748-0211

Other identifiers 10

IdentifierTypeStateIssuer
0032700OtherWALABOR & INDUSTRIES
0568510001OtherWADMERC SUPPLIER ID
7131733OtherWAMEDICAID CENTRALIA SPECIA
9039751OtherWAMEDICAID DME
C46630OtherWARAILROAD MEDICARE
02025138OtherWAMEDICAID CHIROPRACTOR
7131725OtherWAMEDICAID L G STECK MEMORI
7069883MedicaidWA
7074131OtherWAMEDICAID NAPAVINE MEDICAL
7098767OtherWAMEDICAID AUDIOLOGY

Other names 1

  • Steck Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051209000401 WA Part A Provider - Rural Health Clinic 7012825342 Practice locations: Chehalis, WA

Rural health clinic certification: CCN 503901

Legal name
L G STECK MEMORIAL CLINIC P S
Doing business as
STECK MEDICAL GROUP
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 22, 2005
Last certification
Jul 19, 2023
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Apr 29, 1977 in WA
Enrollment address
1299 Bishop Rd
Chehalis, WA 98532-8758

Portable X-ray supplier certification: CCN 50X0009817

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
STECK MEDICAL GROUP
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
Jan 8, 1991
Last certification
Jan 8, 1991
Ownership / control type
CORPORATION
Facility address
1299 Bishop Rd
Chehalis, WA 98532

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2075357Steck Medical Group1299 Bishop Rd, Chehalis, WA 98532Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1299 Bishop Rd
Unit Main
Chehalis, WA 98532

1299 Bishop Rd
Sumner, WA 98352

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard a Kirkpatrick Individual 5% Or Greater Direct Ownership InterestProvider Owner Mar 21, 2026 100%
W-2 Managing EmployeeProvider Owner Mar 22, 2026 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1710929252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320260",
            "telephone_number": "360-748-0211",
            "fax_number": "360-748-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 BISHOP RD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328758",
            "telephone_number": "360-748-0211",
            "fax_number": "360-748-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L G STECK MEMORIAL CLINIC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "LENO",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "360-748-0211"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0032700",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC SUPPLIER ID",
            "identifier": "0568510001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CENTRALIA SPECIA",
            "identifier": "7131733",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "9039751",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C46630",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CHIROPRACTOR",
            "identifier": "02025138",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID L G STECK MEMORI",
            "identifier": "7131725",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7069883",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID NAPAVINE MEDICAL",
            "identifier": "7074131",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID AUDIOLOGY",
            "identifier": "7098767",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steck Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Steck Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chehalis, WA

Sources for this page

Verify at the official NPI Registry.