LEWIS COUNTY COMMUNITY HEALTH SERVICES
NPI 1205316569
Clinic/Center - Federally Qualified Health Center (FQHC) in Centralia, WA

Active since August 16, 2018CLIA 50D0910659 · Waiver
711 HARRISON AVE, CENTRALIA, WA 98531(360) 736-5405(360) 736-5620 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 50D0910659
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 04-04-2028

About LEWIS COUNTY COMMUNITY HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Lewis County Community Health Services, a primary care provider established in Centralia, Washington operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1205316569 assigned on August 2018. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Steven C. Clark (Executive Director)

NPI
1205316569 Verify this NPI
Provider Name
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Entity Type
Organization
Location Address
711 HARRISON AVE CENTRALIA, WA 98531
Location Phone
(360) 736-5405
Location Fax
(360) 736-5620
Mailing Address
2690 NE KRESKY AVE CHEHALIS, WA 98532
Mailing Phone
(360) 330-9595
Mailing Fax
(360) 330-9560
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2018
Last Update Date
08-16-2018
Code Navigator

A primary care provider (PCP) like Lewis County Community Health Services sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License State
WA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEVEN C. CLARK

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(360) 330-9595

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7126972MEDICAID (05)WA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D0910659
Facility Type
Other
Certificate Effective Date
January 17, 1996
Certificate Expiration Date
April 04, 2028
Laboratory Director
JOSEPH WILEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lewis County Community Health Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for LEWIS COUNTY COMMUNITY HEALTH SERVICES

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist
711 HARRISON AVE
CENTRALIA, WA 98531
Dentist
711 HARRISON AVE
CENTRALIA, WA 98531

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205316569, enumerated as an "organization" on August 16, 2018.

The provider is located at 711 HARRISON AVE CENTRALIA, WA 98531 and the phone number is (360) 736-5405.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.