PEACEHEALTH NPI 1508958331

NPI Information

PEACEHEALTH is an end-stage renal disease (esrd) treatment clinic center in Longview, WA. PEACEHEALTH NPI is 1508958331. 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:

600 BROADWAY ST
LONGVIEW, WA
ZIP 98632-256
Phone: (360) 414-2000

The provider's authorized official is Thomas Haywood .
The authorized official title is Network Cfo and has the following contact phone number (360) 414-2173.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 7/12/2013.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.