Organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Active
Other names
Valley View Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN C CLARK (EXECUTIVE DIRECTOR)
(360) 330-9595
Entity
Organization
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 669-0335
(360) 669-0527
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
08/06/2013
Last updated
03/31/2016
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