PENINSULA COMMUNITY HEALTH SERVICES NPI 1942861000

NPI Information

NPI: 1942861000
Provider Name: PENINSULA COMMUNITY HEALTH SERVICES
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 50D0956753

Address:
3100 NW BUCKLIN HILL RD STE 202
SILVERDALE, WA
ZIP 98383
Phone: (360) 377-3776
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PENINSULA COMMUNITY HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Silverdale, WA. PENINSULA COMMUNITY HEALTH SERVICES NPI is 1942861000. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3100 NW BUCKLIN HILL RD STE 202
SILVERDALE, WA
ZIP 98383-362
Phone: (360) 377-3776

The provider's authorized official is Ja-angel Dewalt .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (360) 475-6711.

The CLIA number assigned to this NPI record is 50D0956753 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/27/2019 and was last updated on 4/28/2020.

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	Primary
1	101Y00000X	Counselor		No
2	103T00000X	Psychologist		No
3	104100000X	Social Worker		No
4	106H00000X	Marriage & Family Therapist		No
5	133N00000X	Nutritionist		No
6	207Q00000X	Family Medicine		No
7	207R00000X	Internal Medicine		No
8	207V00000X	Obstetrics & Gynecology		No
9	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
10	363L00000X	Nurse Practitioner		No
11	208000000X	Pediatrics		No
12	251B00000X	Case Management		No
13	251E00000X	Home Health		No
14	363A00000X	Physician Assistant		No
15	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

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

NPI Synchronization or Removal

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