LEWIS COUNTY COMMUNITY HEALTH SERVICES NPI 1881135499

NPI Information

LEWIS COUNTY COMMUNITY HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Tenino, WA. LEWIS COUNTY COMMUNITY HEALTH SERVICES NPI is 1881135499. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley View Health Center - Tenino.

The provider's business location address is:

273 SUSSEX AVE E
TENINO, WA
ZIP 98589-359
Phone: (360) 264-5665
Fax: (360) 264-5666

The provider's authorized official is Steven C Clark .
The authorized official title is Executive Director and has the following contact phone number (360) 330-9595.

The CLIA number assigned to this NPI record is 50D0870320 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/15/2017 and was last updated on 3/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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