Organization
PENINSULA COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN KREIDLER-MOSS (CEO)
(360) 377-3776
Entity
Organization
Contact information
Practice address
19586 10TH AVE NE, POULSBO, WA 98370-7332
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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