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CH10154X Peninsula Community Health Services (Active)
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Main Details
Name
Peninsula Community Health Services
Subdivision Name
Peninsula Community Health Services - Key Peninsula
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033646
340B ID
CH10154X
Grant Number
H80CS00677
Additional Details
Current Program Status
Active
Registration Date
11/29/2021
Participating Start Date
11/30/2021
Participating Approval Date
11/30/2021
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Peninsula Community Health Services
Jennifer Kreidler-Moss, CEO
(360) 475-6707
Primary Contact
Peninsula Community Health Services
Patricia Lambro, Pharmacy Director
(360) 475-3732
Addresses
Street Address
11901 137th Ave NW Unit A
Gig Harbor, WA 98329-6617
Billing Address
Peninsula Community Health Services
PO BOX 960
Bremerton, WA 98310
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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