PEACEHEALTH NPI 1609142595

NPI Information

  • NPI: 1609142595
  • Provider Name: PEACEHEALTH
  • Classification: Medicare Defined Swing Bed Unit - 275N00000X
  • Entity Type: Organization
  • Doing Business As: COTTAGE GROVE COMMUNITY MEDICAL CT
  • Address: 1515 VILLAGE DR
    COTTAGE GROVE, OR
    ZIP 97424
  • Phone: (541) 686-7034

Map and Directions

Get Directions

NPI Details

PEACEHEALTH is a medicare defined swing bed unit in Cottage Grove, OR. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. PEACEHEALTH NPI is 1609142595. 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:

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424-700
Phone: (541) 686-7034
Fax: (541) 335-2325

The provider's authorized official is Wendy Apland .
The authorized official title is Cfo and has the following contact phone number (541) 686-3858.

The enumeration date for this NPI number is 3/26/2012 and was last updated on 2/27/2013.

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
1275N00000XMedicare Defined Swing Bed Unit40 0223OREGONYes

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
138Z301MEDICARE OSCAR/CERTIFICATIONOREGON

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI