| Organization Name: | LEWIS COUNTY COMMUNITY HEALTH SERVICES |
| NPI Number: | 1134164692 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN CLARK (EXECUTIVE DIRECTOR) |
| Mailing Address: | 2690 Ne Kresky Ave Chehalis |
| State: | WA US |
| Postal Code: | 985322412 |
| Phone Number: | 3603309595 |
| Fax Number: | 3603309560 |
| NPI Enumeration Date: | 06/18/2006 |
| NPI Last Update Date: | 03/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |