Organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Active
Parent organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Other names
Valley View Health Center - Pe Ell
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Authorized official
STEVEN CLARK (EXECUTIVE DIRECTOR)
(360) 330-9555
Entity
Organization
Contact information
Practice address
402 N. MAIN STREET, PE ELL, WA 98572
(360) 291-3232
(360) 291-3144
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
05/18/2012
Last updated
03/31/2016
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