Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Parent organization
PENINSULA COMMUNITY HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENINSULA COMMUNITY HEALTH SERVICES
Authorized official
JOEL EMERY (CFO)
(360) 377-3776
Entity
Organization
Contact information
Practice address
7077 STAMPEDE BLVD NW RM 14, BREMERTON, WA 98311-8954
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133N00000X
Nutritionist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/19/2022
Last updated
06/29/2022
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