PEACEHEALTH NPI 1457553497

NPI Information

NPI: 1457553497
Provider Name: PEACEHEALTH

Doing Business As: ST JOSEPH MEDICAL CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2901 SQUALICUM PARKWAY
BELLINGHAM, WA
ZIP 98225
Phone: (360) 734-5400
Get Directions

PEACEHEALTH is a multi-specialty clinic center in Bellingham, WA. PEACEHEALTH NPI is 1457553497. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Joseph Medical Center.

The provider's business location address is:

2901 SQUALICUM PARKWAY
BELLINGHAM, WA
ZIP 98225
Phone: (360) 734-5400
Fax: (360) 756-3552

The provider's authorized official is Dale J Zender .
The authorized official title is Cfo and has the following contact phone number (360) 788-6797.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 2/16/2011.

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 State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		No
2	1041C0700X	Social Worker	Clinical		No
3	2084P0005X	Psychiatry & Neurology	Neurodevelopmental Disabilities		No
4	2084P0800X	Psychiatry & Neurology	Psychiatry		No
5	2080P0202X	Pediatrics	Pediatric Cardiology		No
6	207RC0000X	Internal Medicine	Cardiovascular Disease		No
7	261QM1300X	Clinic/Center	Multi-Specialty	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1992833	MEDICAID	WASHINGTON
2	G001449200	MEDICARE PIN	WASHINGTON
3	G001480200	MEDICARE PIN	WASHINGTON
4	1991272	MEDICAID	WASHINGTON
5	7079056	MEDICAID	WASHINGTON
6	7150014	MEDICAID	WASHINGTON
7	7010440	MEDICAID	WASHINGTON
8	G001480100	MEDICARE PIN	WASHINGTON

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

NPI Synchronization or Removal

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