Active NPI
Peacehealth
Doing business as PeaceHealth SW Heart & Vascular Center
- Cardiovascular Disease Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- PEACEHEALTH
- Doing business as
- PeaceHealth SW Heart & Vascular Center
- Practice address
- 200 NE Mother Joseph PL Ste 400
Vancouver, WA 98664-3290 - Phone
- (360) 256-2640
- NPI assigned
- Jul 26, 2011
- Last updated
- Apr 16, 2026
- Organization subpart
- Yes
- Parent organization
- PEACEHEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur Craig Springer II
- Title
- Sys VP Fin Integrity/Controller
- Phone
- (360) 729-1132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
200 NE Mother Joseph PL Ste 400
Vancouver, WA 98664-3290
Mailing address
PO Box 1588
Vancouver, WA 98668-1588
Other names 1
- PeaceHealth SW Heart & Vascular Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000831 | WA | Part B Supplier - Clinic/Group Practice | 9739092065 |
Receives reassigned benefits from 288 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Vancouver, WA; Brush Prairie, WA |
| O20130214000023 | WA | Part A Provider - Hospital | 9739092065 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Vancouver, WA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1003194911. Details of each certification follow.
Hospital certification: CCN 500050
- Legal name
- PEACEHEALTH
- Doing business as
- PEACEHEALTH SOUTHWEST MEDICAL CENTE
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Sep 25, 2025
- Beds
- 275
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Jan 1, 2013 (2 total)
- Organization structure
- Corporation
- Incorporated
- Jun 15, 1976 in WA
- Enrollment address
- 400 NE Mother Joseph PL
Vancouver, WA 98664-3200 - Hospital subgroups
- Acute care
Related certifications (CCN) 2
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
Hospital unit
-
dba PeaceHealth Southwest Inpatient Rehabilitation
- Rehabilitation Hospital Unit
- Vancouver, WA
- NPI 1548734205
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
O20031111000831, O20130214000023
Care Compare: Hospital
Medicare Care Compare- Listed as
- Peacehealth Southwest Medical Cente
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- No
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0637794 | Peacehealth SW Heart & Vascular Center Cardiology | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Part of
- Peacehealth
Locations
200 NE Mother Joseph Pl
Ste 400
Vancouver, WA 98664
Phone (360) 256-2640
Networks
- devoted network organization-54bc88f0-8c1c-41b6-b022-755ebfe4d22c
Ownership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Charlotte Virgia Davenport | Corporate Director | Jul 1, 2016 | |
| Ione S Adams | Corporate Director | Jul 1, 2024 | |
| Leonard W Kearney | Corporate Director | Jan 1, 2011 | |
| Thomas Karnes | Corporate Officer | Jan 27, 2023 | |
| Lorraine Arvin | Corporate Director | Jul 1, 2024 | |
| Danny W Hollingshead | Corporate Director | Jun 1, 2017 | |
| Richard Harry Wollenberg | Corporate Director | Jan 21, 2014 | |
| Timothy Ackman | Corporate Director | Jul 1, 2017 | |
| Carolyn Aaron | Corporate Director | Jan 1, 2021 | |
| Arthur Craig Springer II | Corporate Officer | Nov 3, 2025 | |
| Peacehealth | 5% Or Greater Direct Ownership Interest | Jan 1, 2013 | 100% |
| Linda Lea Jackson | Corporate Director | Jul 15, 2023 | |
| W-2 Managing Employee | Jul 15, 2023 | ||
| Richard E Magnuson | Corporate Officer | Jun 16, 2025 | |
| Mary McWilliams | Corporate Director | Sep 24, 2021 | |
| Kathleen Lee Pruitt | Corporate Officer | Jul 1, 2015 | |
| Sheila Lemieux | Corporate Director | Sep 27, 2024 | |
| Sarah Marie Ness | Corporate Officer | Jan 3, 2026 | |
| Andrea C Nenzel | Corporate Director | Jul 1, 2015 | |
| Karl Joseph Carrier | Corporate Director | Jul 1, 2016 | |
| Donna King | Corporate Director | Jul 1, 2019 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba PeaceHealth Home Health of Whatcom County
- Home Health Agency
- Bellingham, WA
- NPI 1710639901
5% Or Greater Direct Ownership Interest
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Vancouver, WA
- NPI 1982326815
5% Or Greater Direct Ownership Interest
-
dba PeaceHealth Hospice
- Community Based Hospice Care Agency
- Ketchikan, AK
- NPI 1386362580
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 127
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Vancouver, WA
- NPI 1295142750
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1679197370
-
- Anatomic Pathology & Clinical Pathology Physician
- Vancouver, WA
- NPI 1225048762
-
- Gastroenterology Physician
- Vancouver, WA
- NPI 1093704959
-
- Family Medicine Physician
- Vancouver, WA
- NPI 1437511888
-
- Pain Medicine Physician
- Vancouver, WA
- NPI 1104269711
-
- Anatomic Pathology & Clinical Pathology Physician
- Longview, WA
- NPI 1487066841
-
- Physician Assistant
- Vancouver, WA
- NPI 1619915808
-
- Emergency Registered Nurse
- Vancouver, WA
- NPI 1578793329
-
- Physician Assistant
- Vancouver, WA
- NPI 1700158326
-
- Certified Registered Nurse Anesthetist
- Longview, WA
- NPI 1417154428
-
- Certified Registered Nurse Anesthetist
- Longview, WA
- NPI 1528308558
Affiliated clinicians 793
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Critical Care Medicine (Internal Medicine) Physician
- Vancouver, WA
- NPI 1497986871
Hospital
-
- Anatomic Pathology & Clinical Pathology Physician
- Vancouver, WA
- NPI 1225048762
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776297600000",
"number": "1003194911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1588",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986681588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 400",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643290",
"telephone_number": "360-256-2640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEHEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PEACEHEALTH",
"enumeration_date": "2011-07-26",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A",
"authorized_official_last_name": "SPRINGER",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "CRAIG",
"authorized_official_title_or_position": "SYS VP FIN INTEGRITY/CONTROLLER",
"authorized_official_telephone_number": "360-729-1132",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PeaceHealth SW Heart & Vascular Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vancouver, WA
- Cheryl Ellen Payton, M.S. SLP
- Deborah Jean Peabody
- Peace at Home Nursing Services LLC
- Peace of Mind Counseling, LLC
- Peaceful Hillside Afh LLC
- Peacehealth (PeaceHealth Southwest Medical Center)
- Peacehealth (Peacehealth Southwest Home Health)
- Peacehealth
- Peacehealth (PeaceHealth Southwest Inpatient Rehabilitation)
- Peacehealth (Peacehealth Southwest Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.