| |
450 S Kitsap Blvd Bldg. 1, Suite 250 Port Orchard WA 98366-3773 | |
(360) 782-3000 | |
(360) 782-3040 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 450 S Kitsap Blvd, Port Orchard, Washington |
Authorized Official Name and Position | Jay Burghart (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3607823600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9621 Ridgetop Blvd Nw Silverdale WA 98383-8502 Ph: () - | 450 S Kitsap Blvd Bldg. 1, Suite 250 Port Orchard WA 98366-3773 Ph: (360) 782-3000 |
NPI Number | 1396793709 |
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Provider Enumeration Date | 05/05/2006 |
Last Update Date | 11/01/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396793709 | NPI | - | NPPES |
337018600 | Other | WA | OWCP |
CU0247 | Other | WA | RAILROAD MEDICARE |
7053895 | Medicaid | WA | |
50D0635293 | Other | WA | CLIA |
8919256 | Other | WA | CRIME VICTIMS COMPENSATIO |
Peninsula Community Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2150 Fircrest Dr Se Rm G-1, Port Orchard, WA 98366 Phone: 360-377-3776 | |
Eppel Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1950 Pottery Ave, Ste 140, Port Orchard, WA 98366 Phone: 360-876-5440 Fax: 360-876-0718 | |
Peninsula Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1338 Sw Old Clifton Rd Ste E, Port Orchard, WA 98367 Phone: 360-377-3776 | |