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Organization

PENINSULA COMMUNITY HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHALINI CHATAN (CREDENTIALING SPECIALIST)
(360) 475-6718
Entity
Organization

Contact information

Practice address
1400 NE MCWILLIAMS RD, BREMERTON, WA 98311-3150
(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)
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
05/08/2021
Last updated
05/08/2021
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