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Contact Information

PENINSULA COMMUNITY HEALTH SERVICESS
320 S KITSAP BLVD
PORT ORCHARD, WA98366
 Phone: 360-876-7215
 Fax: 360-895-5654
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for PENINSULA COMMUNITY HEALTH SERVICESS

NPI # 1679665483
LBN Legal business name PENINSULA COMMUNITY HEALTH SERVICESS
Authorized official JENNIFER KREIDLER-MOSS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2006
Last updated 05/28/2026 - About 2 weeks ago
Identifiers
WA License # CF00058729
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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