Peninsula Community Health Services Pt Orchard
LBN: Peninsula Community Health Services
Peninsula Community Health Services Pt Orchard is an health care organization with primary practice located at 320 S Kitsap Blvd , Port Orchard WA 98366-3778. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Peninsula Community Health Services can be contacted via phone (360) 874-5583, or through Kreidler-Moss, Jennifer via phone (360) 478-2833.
Contact Information
Primary practice address
320 S Kitsap Blvd
Port Orchard WA 98366-3778
Phone: (360) 874-5583
Fax: (360) 895-5654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHARCF00058729 | Washington |
Profile Details
| NPI number | 1588675623 |
|---|---|
| LBN Legal business name | Peninsula Community Health Services |
| DBA Doing business as | Peninsula Community Health Services Pt Orchard |
| Authorized official | Kreidler-Moss, Jennifer PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Sep 16th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588675623 | NPPES |
| Other | 2108674 | PK | |
| MEDICAID | 6029490 | PK |
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