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Organization

PENINSULA COMMUNITY HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE BRAZIER (ADMINISTRATIVE SERVICES DIRECTOR)
(360) 475-6715
Entity
Organization

Contact information

Practice address
4110 KITSAP WAY STE 100, BREMERTON, WA 98312-2401
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
02/20/2025
Last updated
02/20/2025
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