Organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Active
Parent organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES, INC.
Other names
Valley View Health Center - Winlock
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
100 CEDAR CREST DR, WINLOCK, WA 98596-9791
(360) 785-9400
(360) 785-0236
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9565
(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
05/14/2012
Last updated
01/04/2019
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