COMMUNITY INTEGRATED HEALTH SERVICES, LLC – Community/Behavioral Health Agency, NPI 1942840160

COMMUNITY INTEGRATED HEALTH SERVICES, LLC is a healthcare provider. based in Chehalis, Washington. specializing in Community/Behavioral Health Agency. The NPI Number for COMMUNITY INTEGRATED HEALTH SERVICES, LLC is 1942840160

Main info

Organization
Name
COMMUNITY INTEGRATED HEALTH SERVICES, LLC
NPI
1942840160
Phone
(360) 261-6930
Address
57 W MAIN ST
Authorized Official
MR. MARC EDMUND BOLLINGER EXECUTIVE DIRECTOR LICSW
Enumeration Date
15 January 2020
Last Update Date
27 September 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:6State licenses:0Digital endpointsOther names

Provider Addresses for COMMUNITY INTEGRATED HEALTH SERVICES, LLC

  • 57 W MAIN ST

    CHEHALIS, WA 985324815

    Phone: (360) 261-6930

    Type: Location

  • PO BOX 1447

    CHEHALIS, WA 985320378

    Phone:

    Type: Mailing

  • 1707 COOKS HILL RD

    CENTRALIA, WA 985319071

    Phone: (360) 261-6930

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20220917000568OClinic/Group PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98532)

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Reviews

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Frequently asked questions

What unique ID ties claims to COMMUNITY INTEGRATED HEALTH SERVICES, LLC?
NPI 1942840160 is assigned to COMMUNITY INTEGRATED HEALTH SERVICES, LLC under the national enumeration system.
Is COMMUNITY INTEGRATED HEALTH SERVICES, LLC's NPI currently valid?
The extract we use shows COMMUNITY INTEGRATED HEALTH SERVICES, LLC as active.
What does COMMUNITY INTEGRATED HEALTH SERVICES, LLC treat or focus on?
Patients typically see COMMUNITY INTEGRATED HEALTH SERVICES, LLC under the specialty Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
Where is COMMUNITY INTEGRATED HEALTH SERVICES, LLC's primary listing?
We display Chehalis, Washington because that is what the record indicates for COMMUNITY INTEGRATED HEALTH SERVICES, LLC.
Is COMMUNITY INTEGRATED HEALTH SERVICES, LLC a real provider?
This page reflects official NPPES data for NPI 1942840160. Always confirm identity and privileges with the practice and licensing boards.

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