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PENINSULA COMMUNITY HEALTH SERVICES NPI 1053995845


NPI Information

NPI: 1053995845
Provider Name: PENINSULA COMMUNITY HEALTH SERVICES
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1400 NE MCWILLIAMS RD
BREMERTON, WA
ZIP 98311
Phone: (360) 377-3776
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PENINSULA COMMUNITY HEALTH SERVICES is a rehabilitation and substance use disorder clinic center in Bremerton, WA. PENINSULA COMMUNITY HEALTH SERVICES NPI is 1053995845. The provider is registered as an organization entity type.

The provider's business location address is:

1400 NE MCWILLIAMS RD
BREMERTON, WA
ZIP 98311-150
Phone: (360) 377-3776

The provider's authorized official is Shalini Chatan .
The authorized official title is Credentialing Specialist and has the following contact phone number (360) 475-6718.

The enumeration date for this NPI number is 5/8/2021 and was last updated on 5/8/2021.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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