PENINSULA COMMUNITY HEALTH SERVICES (NPI# 1679023493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679023493 |
| Entity Type | Organization |
| Organization Name | PENINSULA COMMUNITY HEALTH SERVICES |
| Practice Address |
31 Ne State Route 300 Suite 200 Belfair WA 98528-8611 |
| Mailing Address |
Po Box 960 Bremerton WA 98337-0212 |
| Practice Telephone | 3603773776 |
| Mailing Telephone | 3604756711 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2017-01-31 |
| Authorized Official Name | JENNIFER KREIDLER-MOSS (CEO) |
| Authorized Official Telephone | 3604782366 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 126800000X | Dental Assistant | Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759879 | Peninsula Community Health Services | Counselor | 4841 Auto Center Way Ste 203, Bremerton, WA 98312-4388 | 2020-04-23 |
| 1356995534 | Peninsula Community Health Services | Counselor | 2650 Ne John Carlson Rd, Bremerton, WA 98311-3928 | 2019-07-26 |
| 1407400682 | Peninsula Community Health Services | Counselor | 8107 Central Valley Rd Ne, Bremerton, WA 98311-9155 | 2019-07-26 |
| 1942861000 | Peninsula Community Health Services | Counselor | 3100 Nw Bucklin Hill Rd Ste 202, Silverdale, WA 98383-8362 | 2019-06-27 |
| 1770062242 | Peninsula Community Health Services | Clinic/Center | 300 E Campus Dr, Belfair, WA 98528-8307 | 2018-08-07 |
| 1528547940 | Peninsula Community Health Services | Dentist | 19705 Viking Avenue Nw, Suite 201 Bldg A, Poulsbo, WA 98370-8351 | 2018-08-07 |
| 1528517216 | Peninsula Community Health Services | Family Medicine | 31 Ne State Route 300, Suite 200, Belfair, WA 98528-8611 | 2016-09-23 |
| 1760617997 | Peninsula Community Health Services | Pharmacy | 19917 7th Ave Ne Ste 205, Suite 205, Poulsbo, WA 98370-6555 | 2009-05-18 |
| 1457990509 | Peninsula Community Health Services | Clinic/Center | 616 6th St, Bremerton, WA 98337-1420 | 2020-01-06 |
| 1053950832 | Peninsula Community Health Services | Nurse Practitioner | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2019-12-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PENINSULA COMMUNITY HEALTH SERVICES | 400 Warren Ave Suite 200, Bremerton, WA 98337-1467 |
| System for Award Management (SAM) Entities | PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC. | 230 E Marydale Ave Ste 3, Soldotna, AK 99669-7648 |
| Street Address |
31 NE STATE ROUTE 300 SUITE 200 |
| City | BELFAIR |
| State | WA |
| Zip Code | 98528-8611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528517216 | Peninsula Community Health Services | Family Medicine | 31 Ne State Route 300, Suite 200, Belfair, WA 98528-8611 | 2016-09-23 |
| 1497205223 | Peninsula Community Health Services | Pharmacy Technician | 31 Ne State Route 300, Suite 102, Belfair, WA 98528-8611 | 2016-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316589419 | Jody Fletcher | Speech-Language Pathologist | 22900 Ne Hwy 3, Belfair, WA 98528 | 2019-10-10 |
| 1811538465 | Nikia Lee Frohlich | Speech-Language Pathologist | Mary E Theler Center Nmsd Preschool, 22871 Wa-3, Belfair, WA 98528 | 2019-10-04 |
| 1821568601 | Christen Ann Harlow | Specialist/Technologist | 250 E Campus Dr, Belfair, WA 98528 | 2018-12-05 |
| 1669817623 | Lillian Michelle White | Nurse Practitioner | 31 Ne State Route 300 Ste 200, Belfair, WA 98528 | 2013-05-05 |
| 1144589300 | Novelita Duyan Feldman | Massage Therapist | 24160 Northeast Sr-3, Belfair, WA 98528 | 2012-05-09 |
| 1700178373 | Patrick Bates | Massage Therapist | 24160 Ne Sr-3, Belfair, WA 98528 | 2011-05-13 |
| 1720285059 | Mc Kinney Whitemarsh Pllc | Optometrist | 23160 St Hwy 3, Belfair, WA 98528 | 2007-06-29 |
| 1427260389 | Public Hospital District No.1 of Mason County Washington | Clinic/Center | 140 Ne State Rte 300, Belfair, WA 98528 | 2007-05-04 |
| 1649313156 | Christy Rice | Massage Therapist | 151 Ne State Rt 300, Belfair, WA 98528 | 2007-02-14 |
| 1669510970 | Donald R Lepere Dds Ps | Dentist | 22921 Ne State Route, 3, Belfair, WA 98528 | 2007-02-01 |
| Find all providers in zip 98528 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255615985 | Scott Studerus Dds Ps | Dentist | 131 Ne Roy Boad Rd Unit C, Belfair, WA 98528-8649 | 2011-09-29 |
| 1265455943 | Christine Marie Marshall | Dentist | 24070 Ne State Route 3, Belfair, WA 98528-9665 | 2006-07-25 |
| 1912375338 | Leslie Ann Whalen | Dentist | 131 Ne Roy Boad Rd Unit C, Belfair, WA 98528-8649 | 2015-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991319 | Ashley Lynn Wildhaber | Dentist | 111 Tumwater Blvd Se # 301, Tumwater, WA 98501-6400 | 2020-10-26 |
| 1124627757 | Eric Kun Kim | Dentist | 7160 Burden Blvd Ste 102, Pasco, WA 99301-4469 | 2020-10-24 |
| 1174121966 | Brandon C Hahn | Dentist | 6574 153rd Ave Se, Bellevue, WA 98006-5424 | 2020-10-13 |
| 1144828237 | William Garcia | Dentist | 1214 Sw Scotton Way Ste 101, Battle Ground, WA 98604-2715 | 2020-10-12 |
| 1568069391 | Neha Agarwal | Dentist | 13605 Ne 10th Pl # 8-101, Bellevue, WA 98005-2743 | 2020-10-05 |
| 1134736028 | Ibraheem M Al Naqshabandy | Dentist | 4747 30th Ave Ne Apt K174, Seattle, WA 98105-4032 | 2020-09-25 |
| 1598371866 | Maryam Tabarestani | Dentist | 24325 7th Pl W, Bothell, WA 98021-8525 | 2020-09-21 |
| 1922614890 | Vicky Herrera | Dentist | 10720 5th Ave Ne Apt 605, Seattle, WA 98125-7258 | 2020-09-16 |
| 1407461825 | Jangsu Kiyoshi | Dentist | 3006 Mahogany St Ne, Lacey, WA 98516-5589 | 2020-09-11 |
| 1407461270 | Crisafulli Dental | Dentist | 18920 Bothell Way Ne Ste 200, Bothell, WA 98011-1981 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
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| 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.