Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KREIDLER-MOSS (CEO)
(360) 377-3776
Entity
Organization
Contact information
Practice address
2150 FIRCREST DR SE RM G-1, PORT ORCHARD, WA 98366-2640
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 377-3776
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/12/2021
Last updated
05/28/2026
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