PENINSULA COMMUNITY HEALTH SERVICES NPI 1982654182

NPI Information

NPI: 1982654182
Provider Name: PENINSULA COMMUNITY HEALTH SERVICES
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
616 6TH ST
BREMERTON, WA
ZIP 98337
Phone: (360) 377-3776
Get Directions

PENINSULA COMMUNITY HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Bremerton, WA. PENINSULA COMMUNITY HEALTH SERVICES NPI is 1982654182. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

616 6TH ST
BREMERTON, WA
ZIP 98337-420
Phone: (360) 377-3776
Fax: (360) 479-0038

The provider's authorized official is Joel P Emery .
The authorized official title is Cfo and has the following contact phone number (360) 475-6710.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 4/10/2020.

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	363L00000X	Nurse Practitioner		No
2	101Y00000X	Counselor		No
3	103T00000X	Psychologist		No
4	104100000X	Social Worker		No
5	106H00000X	Marriage & Family Therapist		No
6	122300000X	Dentist		No
7	124Q00000X	Dental Hygienist		No
8	133N00000X	Nutritionist		No
9	363A00000X	Physician Assistant		No
10	207R00000X	Internal Medicine		No
11	207V00000X	Obstetrics & Gynecology		No
12	208000000X	Pediatrics		No
13	251E00000X	Home Health		No
14	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
15	207Q00000X	Family Medicine		No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7069461	MEDICAID	WASHINGTON
2	CF9820	OTHER		RAILROAD MEDICARE

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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