Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN KREIDLER-MOSS (CHIEF EXECUTIVE OFFICER)
(360) 377-3776
Entity
Organization
Contact information
Practice address
300 E CAMPUS DR, BELFAIR, WA 98528-8307
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 377-3776
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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