Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALINI CHATAN (SENIOR CREDENTIALING SPECIALIST)
(360) 475-6718
Entity
Organization
Contact information
Practice address
11901 137TH AVE NW UNIT A, GIG HARBOR, WA 98329-6617
(360) 377-3776
(360) 373-2096
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 377-3776
(360) 373-2096
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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