Organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Active
Parent organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES, INC.
Other names
Valley View Health Center - Walk In
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEWIS COUNTY COMMUNITY HEALTH SERVICES, INC.
Authorized official
STEVEN CLARK (EXECUTIVE DIRECTOR)
(360) 330-9595
Entity
Organization
Contact information
Practice address
1800 COOKS HILL RD, SUITE G, CENTRALIA, WA 98531-9162
(360) 736-3042
(360) 736-2967
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
01
—
G8801670
MEDICARE GROUP
WA
Enumeration date
05/15/2012
Last updated
03/31/2016
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