Peninsula Community Health Services
Clinic/Center, Federally Qualified Health Center (FQHC) in Bremerton, WA. Organization (NPI-2).
Details
- NPI
- 1679216501
- Entity type
- Organization (NPI-2)
- Legal business name
- Peninsula Community Health Services
- Organization subpart
- No
- Enumeration date
- Apr 19, 2022
- Certification date
- May 29, 2026
- Last updated
- May 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 251E00000X | Home Health | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 251B00000X | Case Management | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 104100000X | Social Worker | – | – |
Practice location
5454 Kitsap Way Rm 343Bremerton, WA 98312-2240
Phone 360-377-3776
Mailing address
Po Box 960Bremerton, WA 98337-0212
Phone 360-377-3776
Authorized official
Jennifer Kreidler-Moss
Ceo
3603773776
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Federally Qualified Health Center (FQHC) providers in Bremerton · All 3,530 providers in Bremerton
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