LEWIS COUNTY COMMUNITY HEALTH SERVICES NPI 1124739974

NPI Information

  • NPI: 1124739974
  • Provider Name: LEWIS COUNTY COMMUNITY HEALTH SERVICES
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 914 7TH AVE SE STE B
    OLYMPIA, WA
    ZIP 98501
  • Phone: (360) 236-7166

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NPI Details

LEWIS COUNTY COMMUNITY HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Olympia, WA. LEWIS COUNTY COMMUNITY HEALTH SERVICES NPI is 1124739974. The provider is registered as an organization entity type.

The provider's business location address is:

914 7TH AVE SE STE B
OLYMPIA, WA
ZIP 98501-548
Phone: (360) 236-7166
Fax: (360) 529-8070

The provider's authorized official is Gaelon B Spradley .
The authorized official title is Ceo and has the following contact phone number (360) 330-9595.

The enumeration date for this NPI number is 12/12/2022 and was last updated on 12/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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