Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Other names
PENINSULA COMMUNITY HEALTH SERVICES PT ORCHARD
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KREIDLER-MOSS PHARMD (CEO)
(360) 377-3776
Entity
Organization
Contact information
Practice address
320 S KITSAP BLVD, PORT ORCHARD, WA 98366-3778
(360) 874-5583
(360) 895-5654
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 478-2366
(360) 373-2096
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF00058729
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108674
PK
—
05
—
6029490
—
WA
Enumeration date
08/11/2006
Last updated
05/28/2026
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