institution
Lewis County Community Health Services
Federally Qualified Health Center (FQHC) in Olympia, Washington
NPI 1104265925

Lewis County Community Health Services is a Federally Qualified Health Center (FQHC) based in Chehalis, WA and is specialized in Federally Qualified Health Center (FQHC). Lewis County Community Health Services practices in Olympia, WA. The NPI Number for Lewis County Community Health Services is 1104265925 and holds a License No. 602-312-048 (Washington).

The current practice location address for Lewis County Community Health Services is 3775 Martin Way E, Olympia, WA and can be reached out via phone at 360-236-7166 and via fax at 360-529-8070.

Location: 3775 Martin Way E, Olympia, WA, 98532-2412
institution
Provider Profile Details
NPI Number
1104265925
Provider Name
Lewis County Community Health Services
Credential
Provider Entity Type
Organization
Address
3775 Martin Way E, Olympia, WA, 98532-2412
Phone Number
360-236-7166
Fax Number
360-529-8070
Provider Enumeration Date
06/14/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G8801670 01 WA MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
3775 Martin Way E
City
State
Zip
98506-5007
Phone Number
360-236-7166
Fax Number
360-529-8070
person
Provider Business Mailing Address Details
Address
3775 Martin Way E
City
State
Zip
98506-5007
Phone Number
360-236-7166
Fax Number
360-529-8070
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
602-312-048 (Washington)
Definition
Definition to come...
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