Organization · Type 2 NPI
Peninsula Community Health Services
Federally Qualified Health Center (FQHC) · Port Orchard, WA
NPI number
1699573634
Active
Practice location
4459 SE Mile Hill Drive, Rm Clinic
Port Orchard, WA 98366-3908
Mailing address
PO Box 960
Bremerton, WA 98337-0212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1699573634
Peninsula Community Health Services's National Provider Identifier is 1699573634, issued on Mar 5, 2025. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Port Orchard, WA. The record was last updated on Mar 5, 2025.