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
2003 NE HOSTMARK STREET, ROOM CLINIC P10, POULSBO, WA 98370
(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
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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