PENINSULA COMMUNITY HEALTH SERVICES (NPI# 1700326246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700326246 |
| Entity Type | Organization |
| Organization Name | PENINSULA COMMUNITY HEALTH SERVICES |
| Practice Address |
25989 Barber Cut Off Rd Ne Kingston WA 98346-8455 |
| Mailing Address |
Po Box 960 Bremerton WA 98337-0212 |
| Practice Telephone | 3603773776 |
| Mailing Telephone | 3603773776 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | JENNIFER KREIDLER-MOSS (CEO) |
| Authorized Official Telephone | 3604756705 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PENDING | 05 |
| 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 |
25989 BARBER CUT OFF RD NE |
| City | KINGSTON |
| State | WA |
| Zip Code | 98346-8455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396723466 | Edward Simon | Internal Medicine | 25989 Barber Cut Off Rd Ne, Suite A3, Kingston, WA 98346-8455 | 2006-01-09 |
| 1528517265 | Anchor Chiropractic, Pllc | Chiropractor | 25989 Barber Cut Off Rd Ne, Kingston, WA 98346-8455 | 2016-09-22 |
| 1063859676 | Colleen Marie Toepfer | Massage Therapist | 25989 Barber Cut Off Rd Ne, Kingston, WA 98346-8455 | 2013-05-23 |
| 1528242252 | Erin Jones | Massage Therapist | 25989 Barber Cut Off Rd Ne, Kingston, WA 98346-8455 | 2007-12-17 |
| 1336204924 | Thomas R Lamar | Chiropractor | 25989 Barber Cut Off Rd Ne, Kingston, WA 98346 | 2006-12-26 |
| 1134293228 | Kingston Eyecare Center, LLC | Optometrist | 25989 Barber Cut Off Rd Ne, Kingston, WA 98346-8455 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725688 | Sierra Joye Lari | Massage Therapist | 8202 Ne Highway 104, Suite 105, Kingston, WA 98346 | 2020-03-12 |
| 1235641705 | Reba Lee Harris | Counselor | 7550 Little Boston Road N.e, Kingston, WA 98346 | 2017-10-24 |
| 1134592421 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 700 Alamo Pintado Road, Solvang, CA 98346 | 2015-11-09 |
| 1588000764 | Donald G Hill | Contractor | 26325 Ne Illinois Ave, B 105, Kingston, WA 98346 | 2013-05-15 |
| 1104161900 | Marcus Dean Atkinson | Massage Therapist | 8202 Ne Hwy 104, Ste 105, Kingston, WA 98346 | 2012-12-05 |
| 1245580687 | Samantha Christine Kottke | Massage Therapist | 25960 Ohio Ave Suite 206, Kingston, WA 98346 | 2012-09-13 |
| 1265713390 | Karen Dale Friend | Pharmacist | 8196 State Highway 104, Kingston, WA 98346 | 2011-09-02 |
| 1750526323 | Megan Elizabeth Pratt | Mechanotherapist | 25925 Washington Blvd., Kingston, WA 98346 | 2008-12-10 |
| 1073787412 | Cindy Pamela Haines | Massage Therapist | 25925 Washington Boulevard Ne, Kingston, WA 98346 | 2008-04-16 |
| 1417163031 | Dian Aletha Poyssick | Pharmacist | 8196 State Route 104, Kingston, WA 98346 | 2007-05-14 |
| Find all providers in zip 98346 | ||||
| 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 |
|---|---|---|---|---|
| 1518585579 | Port Gamble S'klallam Tribe | Clinic/Center | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2020-07-07 |
| 1982267910 | Family Health Center of Southern Oklahoma Inc | Clinic/Center | 21 N Main St, Kingston, OK 73439-6562 | 2019-04-16 |
| 1952422354 | Luzerne Wyoming County Mh Center #1 | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2007-04-03 |
| 1760428650 | Port Gamble S'klallam Tribe | Clinic/Center | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2006-06-21 |
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|---|---|---|---|---|
| 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 | ||||
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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.