PEACEHEALTH NPI 1255977591

NPI Information

  • NPI: 1255977591
  • Provider Name: PEACEHEALTH
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: PEACEHEALTH LONGVIEW UROLOGY
  • Address: 625 9TH AVE STE 120
    LONGVIEW, WA
    ZIP 98632
  • Phone: (360) 636-8950

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NPI Details

PEACEHEALTH is an urology in Longview, WA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PEACEHEALTH NPI is 1255977591. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Peacehealth Longview Urology.

The provider's business location address is:

625 9TH AVE STE 120
LONGVIEW, WA
ZIP 98632-465
Phone: (360) 636-8950
Fax: (360) 636-8951

The provider's authorized official is Michael Charles Metcalf .
The authorized official title is Chief Executive Phmg and has the following contact phone number (360) 729-1743.

The enumeration date for this NPI number is 11/21/2019 and was last updated on 11/27/2019.

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
1208800000XUrologyYes
2332B00000XDurable Medical Equipment & Medical SuppliesNo

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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