| Lewis County Community Health Services | |
|
100 Cedar Crest Dr Winlock WA 98596-9791 | |
| (360) 785-9400 | |
| (360) 785-0236 |
| Full Name | Lewis County Community Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Cedar Crest Dr, Winlock, Washington |
| Authorized Official Name and Position | Steven Clark (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3603309595 |
| 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) 330-9565 | Lewis County Community Health Services 100 Cedar Crest Dr Winlock WA 98596-9791 Ph: (360) 785-9400 |
| NPI Number | 1689933459 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 01/04/2019 |
| Medicare PECOS PAC ID | 6002803749 |
|---|---|
| Medicare Enrollment ID | O20060425000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689933459 | NPI | - | NPPES |
| G8801670 | Other | WA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Cedar Crest Wholehealthmedicalcenterpllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Cedar Crest Dr, Winlock, WA 98596 Phone: 360-785-0300 Fax: 360-785-3330 |