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PEACEHEALTH NPI 1073510277


NPI Information

NPI: 1073510277
Provider Name: PEACEHEALTH

Doing Business As: ST. JOHN MEDICAL CENTER

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1615 DELAWARE ST
LONGVIEW, WA
ZIP 98632
Phone: (360) 414-2000
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PEACEHEALTH is a general acute care hospital in Longview, WA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. PEACEHEALTH NPI is 1073510277. The provider is registered as an organization entity type.
The provider Is Doing Business As St. John Medical Center.

The provider's business location address is:

1615 DELAWARE ST
LONGVIEW, WA
ZIP 98632-310
Phone: (360) 414-2000

The provider's authorized official is Jeffrey Seirer .
The authorized official title is Sys Vp Fin Integrity/controller and has the following contact phone number (360) 729-1132.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 12/6/2022.


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 Number License State Primary
1276400000XRehabilitation, Substance Use Disorder UnitH-026WASHINGTONNo
2282N00000XGeneral Acute Care HospitalH-026WASHINGTONYes

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 Other Provider Identifier Issuer
1600 521 489OTHERUBI NUMBER
23304508MEDICAIDWASHINGTON

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: 5/5/2024

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