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LEWIS COUNTY COMMUNITY HEALTH SERVICES NPI 1205196540


NPI Information

NPI: 1205196540
Provider Name: LEWIS COUNTY COMMUNITY HEALTH SERVICES

Doing Business As: VALLEY VIEW HEALTH CENTER - RAYMOND MEDICAL

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
300 OCEAN AVE
RAYMOND, WA
ZIP 98577
Phone: (360) 942-3040
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LEWIS COUNTY COMMUNITY HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Raymond, WA. LEWIS COUNTY COMMUNITY HEALTH SERVICES NPI is 1205196540. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley View Health Center - Raymond Medical.

The provider's business location address is:

300 OCEAN AVE
RAYMOND, WA
ZIP 98577-016
Phone: (360) 942-3040
Fax: (360) 942-3955

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

The enumeration date for this NPI number is 5/21/2012 and was last updated on 3/31/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G8801670OTHERWASHINGTONMEDICARE GROUP
2501926MEDICARE OSCAR/CERTIFICATIONWASHINGTON

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: 11/14/2023

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