Lewis County Community Health Services

NPI #1205316569 in Centralia, Washington

Provider Information

NPI Number
1205316569
Entity Type
Organization
Organization Name
Lewis County Community Health Services
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 16, 2018
Last Updated
Aug 16, 2018

Practice Location

Address
711 HARRISON AVE
ZIP Code
98531-2109
Phone
(360) 736-5405

Authorized Official

Name
STEVEN C. 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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