# PENINSULA COMMUNITY HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679023493
- **Authorized official:** JENNIFER KREIDLER-MOSS PHARMD (CEO)
- **Authorized official phone:** (360) 377-3776

## Contact information

- **Practice address:** 31 NE STATE ROUTE 300, SUITE 200, BELFAIR, WA 98528-8611
- **Practice address phone:** (360) 377-3776
- **Mailing address:** PO BOX 960, BREMERTON, WA 98337-0212
- **Mailing address phone:** (360) 475-6711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | NULL | — |
| 126800000X | Dental Assistant | — | — | — |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 10/05/2016
- **Last updated:** 05/28/2026