Organization
KLAHOWYA SCHOOL BASE HEALTH CENTER
Active
Parent organization
PENINSULA COMMUNITY HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENINSULA COMMUNITY HEALTH SERVICES
Authorized official
ALISA GI8BSON (REVENUE CYCLE MANAGER)
(360) 475-6711
Entity
Organization
Contact information
Practice address
7607 NW NEWBERRY HILL RD RM CLINIC, SILVERDALE, WA 98383-7313
(360) 377-3776
(360) 373-2096
Mailing address
400 WARREN AVE STE 200, BREMERTON, WA 98337-1467
(360) 475-6711
(360) 373-2096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QA0005X
Ambulatory Family Planning Facility
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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