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NPI Code Detail

MEDICARE: PENINSULA COMMUNITY HEALTH SERVICES

MEDICARE: PENINSULA COMMUNITY HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2103T00000XPsychologist
3104100000XSocial Worker
4106H00000XMarriage & Family Therapist
5133N00000XNutritionist
6207Q00000XFamily Medicine Physician
7207R00000XInternal Medicine Physician
8207V00000XObstetrics & Gynecology Physician
9208000000XPediatrics Physician
10251E00000XHome Health Agency
11363A00000XPhysician Assistant
12363L00000XNurse Practitioner
13261QF0400XFederally Qualified Health Center (FQHC)

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CF9820OTHERRAILROAD MEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205886934
Entity Type Code : Organization
Provider Name (Legal Business Name) : PENINSULA COMMUNITY HEALTH SERVICES
Provider Business Mailing Address
First Line : PO BOX 960
Second Line :
City : BREMERTON
State : WA
Zip : 98337-0212
Country : US
Telephone Number : 360-478-2366
Fax Number :
Provider Business Practice Location Address
First Line : 320 S KITSAP BLVD
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3778
Country : US
Telephone Number : 360-377-3776
Fax Number : 360-876-6721
Authorized Official
Title or Position : CFO
Name : JOEL P EMERY
Credential :
Telephone Number : 360-478-2366
Provider Enumeration Date : 05/11/2006
Last Update Date : 04/10/2020

Similar Medicare Providers

1538949698 — MARIAH JANE HILL PA-C
Practice Location Address:
320 S KITSAP BLVD
PORT ORCHARD, WA
98366-3778
Practice Phone: 360-377-3776
Practice Fax:
1225224470 — CLAUDIA C SLOAN M.D.
Practice Location Address:
320 S KITSAP BLVD
PORT ORCHARD, WA
98366-3778
Practice Phone: 360-377-3776
Practice Fax:
1982695128 — REGINA B BONNEVIE-ROGERS MD
Practice Location Address:
320 S KITSAP BLVD
PORT ORCHARD, WA
98366-3778
Practice Phone: 360-876-7215
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1588675623 — PENINSULA COMMUNITY HEALTH SERVICES
Practice Location Address:
320 S KITSAP BLVD
PORT ORCHARD, WA
98366-3778
Practice Phone: 360-874-5583
Practice Fax: 360-895-5654
1114030566 — DELISHA M JOHNSON PAC
Practice Location Address:
320 S KITSAP BLVD
PORT ORCHARD, WA
98366-3778
Practice Phone: 360-876-7215
Practice Fax: 360-876-6721
1225143670 — DR. ANN BRIDGES BRUCE MD
Practice Location Address:
320 S KITSAP BLVD
PORT ORCHARD, WA
98366-3778
Practice Phone: 360-377-3776
Practice Fax:

Directions to “PENINSULA COMMUNITY HEALTH SERVICES ” Practice Location

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