| Peninsula Community Health Services | |
|
320 S Kitsap Blvd Port Orchard WA 98366-3778 | |
| (360) 377-3776 | |
| (360) 876-6721 |
| Full Name | Peninsula Community Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 320 S Kitsap Blvd, Port Orchard, Washington |
| Authorized Official Name and Position | Joel P Emery (CFO) |
| Authorized Official Contact | 3604782366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Community Health Services Po Box 960 Bremerton WA 98337-0212 Ph: (360) 478-2366 | Peninsula Community Health Services 320 S Kitsap Blvd Port Orchard WA 98366-3778 Ph: (360) 377-3776 |
| NPI Number | 1205886934 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 04/10/2020 |
| Certification Date | 04/10/2020 |
| Medicare PECOS PAC ID | 9436044781 |
|---|---|
| Medicare Enrollment ID | O20100304001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205886934 | NPI | - | NPPES |
| 7069461 | Medicaid | WA | |
| CF9820 | Other | RAILROAD MEDICARE GROUP |
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