| Lewis County Community Health Services | |
|
1800 Cooks Hill Rd Ste F Centralia WA 98531-9162 | |
| (360) 736-3042 | |
| (360) 736-2967 |
| Full Name | Lewis County Community Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 Cooks Hill Rd Ste F, Centralia, Washington |
| Authorized Official Name and Position | Gaelon Spradley (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3603309555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis County Community Health Services 2690 Ne Kresky Ave Chehalis WA 98532-2412 Ph: (360) 330-9595 | Lewis County Community Health Services 1800 Cooks Hill Rd Ste F Centralia WA 98531-9162 Ph: (360) 736-3042 |
| NPI Number | 1811669658 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 09/30/2021 |
| Medicare PECOS PAC ID | 6002803749 |
|---|---|
| Medicare Enrollment ID | O20211104002727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811669658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Rejuventa Medical Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1755 Kresky Ave., Centralia, WA 98531 Phone: 360-669-0098 Fax: 360-669-0121 | |
Washington Park Medical Center, Inc Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Centralia College Blvd, Centralia, WA 98531 Phone: 360-736-0771 Fax: 360-736-4867 | |
Dr. Thomas Cooke Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1217 Mellen St, Centralia, WA 98531 Phone: 360-736-4021 Fax: 360-736-3541 | |
Lewis County Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Harrison Ave, Centralia, WA 98531 Phone: 360-736-5405 Fax: 360-736-5620 | |
Pmg Sw Wa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1010 S Scheuber Rd, Centralia, WA 98531 Phone: 360-827-7966 | |
Cascade Family Medical Clinic Inc Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-7623 Fax: 360-736-4074 | |
Valley View Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Way, Centralia, WA 98531 Phone: 360-388-3259 Fax: 360-807-4933 |