Organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Active
Other names
Valley View Health Center Mary's Corner
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAELON B SPRADLEY (CEO)
(360) 330-9555
Entity
Organization
Contact information
Practice address
4254 JACKSON HWY, CHEHALIS, WA 98532-8424
(360) 996-6603
(360) 996-6604
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
07/27/2023
Last updated
01/24/2024
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