Children’s hospital · WA
POULSBO CLINIC
Filed as PENINSULA COMMUNITY HEALTH SERVICES.
Taking partNoTermination date filed1 April 2026Last certified14 February 2025
- 0Registered locations
- 9Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 January 1998In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “POULSBO CLINIC”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 2026-09-07. https://velarionrecords.com/340b/CH10154A. Accessed 9 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 January 1998
- Termination date
- 1 April 2026
- Termination reason
- Site closure
- Certification date
- 14 February 2025
- Record last edited
- 1 April 2026
Identifiers
- 340B ID
- CH10154A
- Entity type as filed
- CH
- Site ID
- BPS-H80-008461
- Grant number
- H80CS00677
- NPI
- 1003550567 (WA), 1013969351 (WA), 1053995340 (WA), 1053995845 (WA), 1104590504 (WA), 1205886934 (WA), 1265217517 (WA), 1356995534 (WA), 1407400682 (WA), 1407592181 (WA), 1437830007 (WA), 1487662391 (WA), 1497205223 (WA), 1497455141 (WA), 1497530570 (WA), 1528517216 (WA), 1528547940 (WA), 1538643853 (WA), 1558935940 (WA), 1588041701 (WA), 1588675623 (WA), 1598349003 (WA), 1639812589 (WA), 1679023493 (WA), 1679216501 (WA), 1700326246 (WA), 1700529658 (WA), 1730822602 (WA), 1740630128 (WA), 1760148027 (WA), 1760617997 (WA), 1770062242 (WA), 1811630767 (WA), 1942861000 (WA), 1952963704 (WA), 1962957332 (WA), 1972157139 (WA), 1972977924 (WA), 1982654182 (WA)
19917 7TH AVENUE NE, SUITE 205, POULSBO WA 98370
Associated locations
| PENINSULA COMMUNITY HEALTH SERVICES - Belfair Pharmacy | 31 NE SR 300, Suite 102 | Belfair WA 98528 |
| PENINSULA COMMUNITY HEALTH SERVICES - Bremerton Clinic | 616 6th Street | Bremerton WA 98337 |
| PENINSULA COMMUNITY HEALTH SERVICES - Bremerton Pharmacy | 616 6th Street | Bremerton WA 98337 |
| PENINSULA COMMUNITY HEALTH SERVICES - Clare Pharmacy | 2720 Clare Ave | Bremerton WA 98310 |
| Peninsula Community Health Services - Key Peninsula Pharmacy | 11901 137th Ave NW Unit A | Gig Harbor WA 98329 |
| PENINSULA COMMUNITY HEALTH SERVICES - Port Orchard Pharmacy | 320 S. Kitsap Blvd | Port Orchard WA 98366 |
| PENINSULA COMMUNITY HEALTH SERVICES - Poulsbo Clinic | 19917 7TH AVE NE, SUITE 205 | Poulsbo WA 98370 |
| PENINSULA COMMUNITY HEALTH SERVICES - Poulsbo Pharmacy | 19917 7TH AVENE, SUITE 205 | Poulsbo WA 98370 |
| POULSBO CLINIC | 19917 7TH AVENUE NE, SUITE 205 | POULSBO WA 98370 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.