Lewis County Community Health Services

NPI #1689933459 in Winlock, Washington

Provider Information

NPI Number
1689933459
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 14, 2012
Last Updated
Jan 4, 2019

Practice Location

Address
100 CEDAR CREST DR
ZIP Code
98596-9791
Phone
(360) 785-9400

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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