Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BLAND (PM)
(360) 616-3145
Entity
Organization
Contact information
Practice address
11901 137TH AVE CT NW UNIT A, GIG HARBOR, WA 98329-6617
(253) 649-0696
(253) 649-0698
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
06/07/2022
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