PEACEHEALTH NPI 1104264068

NPI Information

  • NPI: 1104264068
  • Provider Name: PEACEHEALTH
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: COTTAGE GROVE COMMUNITY MEDICAL CT
  • Address: 38843 DEXTER RD
    DEXTER, OR
    ZIP 97431
  • Phone: (541) 767-5200

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NPI Details

PEACEHEALTH is a rural health clinic center in Dexter, OR. PEACEHEALTH NPI is 1104264068. The provider is registered as an organization entity type.
The provider Is Doing Business As Cottage Grove Community Medical Ct.

The provider's business location address is:

38843 DEXTER RD
DEXTER, OR
ZIP 97431-600
Phone: (541) 767-5200

The provider's authorized official is Wendy Aplund .
The authorized official title is Region Cfo and has the following contact phone number (541) 686-3968.

The enumeration date for this NPI number is 6/12/2013 and was last updated on 6/12/2013.

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
1261QR1300XClinic/CenterRural HealthYes

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: 11/21/2025

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