Organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Active
Other names
Valley View Health Center - Community Care Center Olympia
Organization subpart
No
Provider details
NPI number
Authorized official
GAELON SPRADLEY (CHIEF EXECUTIVE OFFICER)
(360) 330-9595
Entity
Organization
Contact information
Practice address
3444 MARTIN WAY E RM 4, OLYMPIA, WA 98506-5034
(360) 338-6129
(360) 529-8070
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7126972
—
WA
Enumeration date
01/04/2019
Last updated
09/06/2024
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