LEWIS COUNTY COMMUNITY HEALTH SERVICES (NPI# 1104265925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104265925 |
| Entity Type | Organization |
| Organization Name | LEWIS COUNTY COMMUNITY HEALTH SERVICES |
| Other Organization Name | VALLEY VIEW HEALTH CENTER - OLYMPIA |
| Practice Address |
3775 Martin Way E Suite A Olympia WA 98506-5007 |
| Mailing Address |
2690 Ne Kresky Ave Chehalis WA 98532-2412 |
| Practice Telephone | 3602367166 |
| Practice Fax Number | 3605298070 |
| Mailing Telephone | 3603309595 |
| Mailing Fax Number | 3603309560 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | STEVEN C CLARK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3603309595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
602-312-048 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE GROUP | G8801670 | 01 |
| Other Name | Type Code |
|---|---|
| Valley View Health Center - Olympia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427441849 | Lewis County Community Health Services | Clinic/Center | 220 Washington Way, Centralia, WA 98531-9325 | 2015-03-10 |
| 1700146206 | Lewis County Community Health Services | Clinic/Center | 148 E Division Ave, Morton, WA 98356-9300 | 2012-05-18 |
| 1548520059 | Lewis County Community Health Services | Clinic/Center | 402 N. Main Street, Pe Ell, WA 98572 | 2012-05-18 |
| 1942569637 | Lewis County Community Health Services | Clinic/Center | 117 Ramsey Way, Toledo, WA 98591 | 2012-05-15 |
| 1205309937 | Lewis County Community Health Services | Clinic/Center | 225 State Ave Ne, Olympia, WA 98501-6951 | 2019-01-04 |
| 1205316569 | Lewis County Community Health Services | Clinic/Center | 711 Harrison Ave, Centralia, WA 98531-2109 | 2018-08-16 |
| 1881135499 | Lewis County Community Health Services | Clinic/Center | 273 Sussex Ave E, Tenino, WA 98589-9359 | 2017-03-15 |
| 1861857161 | Lewis County Community Health Services | Pharmacy | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 | 2015-12-31 |
| 1730511205 | Lewis County Community Health Services | Clinic/Center | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2013-08-06 |
| 1205196540 | Lewis County Community Health Services | Clinic/Center | 300 Ocean Ave, Raymond, WA 98577-3016 | 2012-05-21 |
| Street Address |
3775 MARTIN WAY E SUITE A |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144372525 | Charlotte Barbara Clark-neitzel | Family Medicine | 3775 Martin Way E, Suite A, Olympia, WA 98506-5007 | 2007-01-17 |
| 1376143917 | Marla Gail Rodgers | Community Health Worker | 3775 Martin Way E, Olympia, WA 98506-5007 | 2020-10-30 |
| 1851699359 | Amy J Olson | Massage Therapist | 3775 Martin Way E, Ste B2, Olympia, WA 98506-5007 | 2011-03-07 |
| 1841316858 | Dawn P Lantz | Nurse Practitioner | 3775 Martin Way E, Suite A, Olympia, WA 98506-5007 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205484813 | Neighborcare Health | Clinic/Center | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-08-27 |
| 1205309937 | Lewis County Community Health Services | Clinic/Center | 225 State Ave Ne, Olympia, WA 98501-6951 | 2019-01-04 |
| 1902340292 | Sea-mar Community Health Center | Clinic/Center | 3622 Ensign Rd Ne, Olympia, WA 98506-5081 | 2016-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869342 | Unity Care Northwest | Clinic/Center | 6046 Portal Way Ste 202, Ferndale, WA 98248-7829 | 2020-07-27 |
| 1881219426 | Healthpoint | Clinic/Center | 2902 Ne 12th St Ste 102, Renton, WA 98056-3126 | 2020-06-09 |
| 1235778812 | Seattle Indian Health Board | Clinic/Center | 410 2nd Avenue Ext S, Seattle, WA 98104-2876 | 2019-12-31 |
| 1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
| 1295383958 | King County Finance | Clinic/Center | 908 Jefferson St Fl 11, Seattle, WA 98104-2433 | 2019-08-27 |
| 1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
| 1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LEWIS COUNTY COMMUNITY HEALTH SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.