PENINSULA COMMUNITY HEALTH SERVICES (NPI# 1205376977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205376977 |
| Entity Type | Organization |
| Organization Name | PENINSULA COMMUNITY HEALTH SERVICES |
| Practice Address |
616 6th St Bremerton WA 98337-1420 |
| Mailing Address |
Po Box 960 Bremerton WA 98337-0212 |
| Practice Telephone | 3603773776 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | JENNIFER KREIDLER-MOSS (CEO) |
| Authorized Official Telephone | 3604782366 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE 60685627 | WA | 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 |
616 6TH ST |
| City | BREMERTON |
| State | WA |
| Zip Code | 98337-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483109 | Arthur Douglas Felts | Family Medicine | 616 6th St, Bremerton, WA 98337-1420 | 2005-11-04 |
| 1255952701 | Emily Grace Conway | Nurse Practitioner | 616 6th St, Bremerton, WA 98337-1420 | 2020-05-06 |
| 1457990509 | Peninsula Community Health Services | Clinic/Center | 616 6th St, Bremerton, WA 98337-1420 | 2020-01-06 |
| 1629628649 | William Tatlonghari | Student in an Organized Health Care Education/Training Program | 616 6th St, Bremerton, WA 98337-1420 | 2019-09-12 |
| 1891257747 | Andrew Charles Lane | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2019-04-01 |
| 1992278030 | Peninsula Community Health Services | Clinic/Center | 616 6th St, Bremerton, WA 98337-1420 | 2019-01-10 |
| 1083187124 | Peninsula Community Health Services | Family Medicine | 616 6th St, Bremerton, WA 98337-1420 | 2019-01-10 |
| 1053823047 | Scott Jeffrey Clemons | Nurse Practitioner | 616 6th St, Bremerton, WA 98337-1420 | 2017-10-30 |
| 1891235388 | Edwin Gi Lim Kim | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2017-03-02 |
| 1346792108 | Ann Ms Jones | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2016-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902379563 | Paul Hastings | Physician Assistant | Peninsula Community Health Services, 400 Warren Ave, Suite 200, Bremerton, WA 98337 | 2019-01-07 |
| 1083199285 | Jacob Lawrence Barnes | Behavioral Analyst | 1709 13th St, Bremerton, WA 98337 | 2018-10-03 |
| 1295254092 | James Richard Mccormack | Counselor | 851 6th St Ste 135, Kitsap Hypnosis Center LLC, Bremerton, WA 98337 | 2017-09-12 |
| 1629593728 | Tina Mae Davis-munn | Registered Nurse | 345 6th St, Suite 300, Bremerton, WA 98337 | 2017-08-09 |
| 1962927384 | Linda Louise Tourigny | Registered Nurse | 345 6th St Suite 300, Bremerton, WA 98337 | 2017-08-07 |
| 1417480609 | Diane Marie Sabo | Counselor | 843 6th Street, Suite 220 and 240, Bremerton, WA 98337 | 2017-04-05 |
| 1659792265 | Allan L Hablutzel | Dentist | 820 Pacific Ave., Suite 204, Bremerton, WA 98337 | 2013-12-27 |
| 1881979722 | Sidestix Ventures Usa | Durable Medical Equipment & Medical Supplies | 410 Ida St. West, Ste 201, Bremerton, WA 98337 | 2011-10-11 |
| 1346545829 | Doyle & Associates Chiropractic Clinic Inc Ps | Chiropractor | 603 Chester Avenue, Bremerton, WA 98337 | 2011-01-14 |
| 1285762856 | Tracee Arlene Costa | Massage Therapist | 911 Adele Rd., Bremerton, WA 98337 | 2007-03-02 |
| Find all providers in zip 98337 | ||||
| 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 |
|---|---|---|---|---|
| 1689188336 | Meadowdale Dental Center | Dentist | 7500 Old Military Rd Ne Ste 201, Bremerton, WA 98311-3242 | 2017-11-16 |
| 1790232296 | Rory S. Jefferson, Dds | Dentist | 797 Ne Riddell Rd., Bremerton, WA 98310-3030 | 2016-09-01 |
| 1255789459 | Lisa D Arthur Dmd Ps | Dentist | 739 Ne Riddell Rd, Bremerton, WA 98310-3030 | 2016-05-27 |
| 1538535687 | Bahrum Mehr | Dentist | 3036 Perry Ave Ste C, Bremerton, WA 98310-5300 | 2015-08-12 |
| 1669629374 | Current Dental | Dentist | 2625 Wheaton Way Ste D, Bremerton, WA 98310-3372 | 2008-08-25 |
| 1225205792 | Amanda G Mayes | Dentist | 2520 Perry Ave, Suite A, Bremerton, WA 98310-5219 | 2008-05-13 |
| 1598822132 | Maria Concepcion Grey Cunanan | Dentist | 2317 Wheaton Way, Bremerton, WA 98310 | 2007-01-02 |
| 1275645996 | Keith Rey Redd | Dentist | 930 Park Ave, Bremerton, WA 98337 | 2006-08-31 |
| 1609886563 | Christopher H James | Dentist | 2550 Perry Ave, Bremerton, WA 98310 | 2006-08-09 |
| 1053330084 | Alicia Denise Stephens | Dentist | 616 6th Street, Bremerton, WA 98337 | 2006-07-19 |
| Find all providers in BREMERTON | ||||
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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.