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PEACEHEALTH NPI 1871810945


NPI Information

NPI: 1871810945
Provider Name: PEACEHEALTH

Doing Business As: ST JOHN MEDICAL CENTER - PEACEHEALTH MEDICAL GROUP OCEAN BEACH

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
812 OCEAN BEACH HWY
STE. 200
LONGVIEW, WA
ZIP 98632
Phone: (360) 636-6900
Get Directions

PEACEHEALTH is a durable medical equipment medical supplies in Longview, WA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PEACEHEALTH NPI is 1871810945. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St John Medical Center - Peacehealth Medical Group Ocean Beach.

The provider's business location address is:

812 OCEAN BEACH HWY
STE. 200
LONGVIEW, WA
ZIP 98632-082
Phone: (360) 636-6900

The provider's authorized official is Tom Haywood .
The authorized official title is Network Cfo and has the following contact phone number (360) 414-2000.

The enumeration date for this NPI number is 4/28/2010 and was last updated on 9/13/2013.


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
1207QA0505XFamily MedicineAdult MedicineNo
2363LF0000XNurse PractitionerFamilyNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

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
10466190006MEDICARE NSCWASHINGTON

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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