Lewis County Community Health Services

NPI #1134164692 in Chehalis, Washington

Provider Information

NPI Number
1134164692
Entity Type
Organization
Organization Name
Lewis County Community Health Services
Subpart
Yes (part of a larger organization)
Parent Organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jun 18, 2006
Last Updated
Apr 5, 2023

Practice Location

Address
2690 NE KRESKY AVE
ZIP Code
98532-2412
Phone
(360) 330-9595

Authorized Official

Name
GAELON SPRADLEY
Title
CHIEF EXECUTIVE OFFICER
Phone
(360) 330-9555

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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