Lewis County Community Health Services

NPI #1811669658 in Centralia, Washington

Provider Information

NPI Number
1811669658
Entity Type
Organization
Organization Name
Lewis County Community Health Services
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Sep 30, 2021
Last Updated
Sep 30, 2021

Practice Location

Address
1800 COOKS HILL RD STE F
ZIP Code
98531-9162
Phone
(360) 736-3042

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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