| Lewis County Community Health Services | |
|
4254 Jackson Hwy Chehalis WA 98532-8424 | |
| (360) 996-6603 | |
| (360) 996-6604 |
| Full Name | Lewis County Community Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 4254 Jackson Hwy, Chehalis, Washington |
| Authorized Official Name and Position | Gaelon B Spradley (CEO) |
| Authorized Official Contact | 3603309555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis County Community Health Services 2690 Ne Kresky Ave Chehalis WA 98532-2412 Ph: (360) 330-9595 | Lewis County Community Health Services 4254 Jackson Hwy Chehalis WA 98532-8424 Ph: (360) 996-6603 |
| NPI Number | 1326729864 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 6002803749 |
|---|---|
| Medicare Enrollment ID | O20231026003628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326729864 | NPI | - | NPPES |
| 7126972 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Marys Corner Medical Clinic Inc. Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4254 Jackson Highway, Chehalis, WA 98532 Phone: 360-262-3966 Fax: 360-262-3967 | |
Lewis County Community Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-330-9595 Fax: 360-330-9560 | |
Marys Corner Medical Clinic Inc Ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4254 Jackson Hwy, Chehalis, WA 98532 Phone: 360-262-3966 Fax: 360-262-3967 | |
Wooten Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 S Market Blvd, Chehalis, WA 98532 Phone: 360-748-9700 Fax: 360-748-9725 | |
Apnec Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 192 Carroll Rd, Chehalis, WA 98532 Phone: 253-951-6438 | |
Community Allied Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1787 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-748-4339 Fax: 360-748-3349 |