Lewis County Community Health Services

NPI #1205196540 in Raymond, Washington

Provider Information

NPI Number
1205196540
Entity Type
Organization
Organization Name
Lewis County Community Health Services
Subpart
Yes (part of a larger organization)
Parent Organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 21, 2012
Last Updated
Mar 31, 2016

Practice Location

Address
300 OCEAN AVE
ZIP Code
98577-3016
Phone
(360) 942-3040

Authorized Official

Name
STEVEN CLARK
Title
EXECUTIVE DIRECTOR
Phone
(360) 330-9595

Specialties & Taxonomy Codes

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

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