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PEACEHEALTH NPI 1356309553


NPI Information

NPI: 1356309553
Provider Name: PEACEHEALTH

Doing Business As: PEACEHEALTH MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2901 SQUALICUM PKWY
BELLINGHAM, WA
ZIP 98225
Phone: (360) 734-5400
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PEACEHEALTH is an internal medicine in Bellingham, WA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PEACEHEALTH NPI is 1356309553. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Peacehealth Medical Group.

The provider's business location address is:

2901 SQUALICUM PKWY
BELLINGHAM, WA
ZIP 98225-851
Phone: (360) 734-5400
Fax: (360) 756-6830

The provider's authorized official is Darrin Mitchell Montalvo .
The authorized official title is Evp Chief Financial /growth Officer and has the following contact phone number (360) 729-1102.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 11/30/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyNo
2207N00000XDermatologyNo
3207Q00000XFamily MedicineNo
4207R00000XInternal MedicineYes
5207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
6207V00000XObstetrics & GynecologyNo
7207X00000XOrthopaedic SurgeryNo
8208000000XPediatricsNo
92084N0400XPsychiatry & NeurologyNeurologyNo
102084P0800XPsychiatry & NeurologyPsychiatryNo
112086S0129XSurgeryVascular SurgeryNo
12208C00000XColon & Rectal SurgeryNo
13208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
14208M00000XHospitalistNo
15261QS1200XClinic/CenterSleep Disorder DiagnosticNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17098361MEDICAIDWASHINGTON
27010440MEDICAIDWASHINGTON

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: 11/14/2023

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