Peace Health

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

PEACE HEALTH

Doing business as

Cottage Grove Community Hospital

Practice address

1515 Village Dr
Cottage Grove, OR 97424-9700

Phone

(952) 653-2525

NPI assigned

Jul 23, 2013

Last updated

Jul 23, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

PEACE HEALTHAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Anderson

Title

Manager

Phone

(541) 686-7034

Specialties & licenses 1

Addresses

Other names 1

• Cottage Grove Community Hospital Doing business as

Tax ID family

Peacehealth3 organizations share this tax ID, including this one

Part of

Peacehealth

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Peacehealth

  dba Cottage Grove Community Medical Ct

  • Rural Health Clinic/Center
  • Dexter, OR
  • NPI 1104264068
  NPD tax ID
• Peacehealth

  dba Cottage Grove Community Medical CT

  • Medicare Defined Swing Bed Hospital Unit
  • Cottage Grove, OR
  • NPI 1609142595
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1023450715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443248",
            "telephone_number": "952-653-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 VILLAGE DR",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974249700",
            "telephone_number": "952-653-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEACE HEALTH",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-686-7034"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottage Grove Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Parke
• Lisa M Parker, FNP-BC
• Pathwise Behavioral Health, LLC
• Paws and Reflect Therapeutic Services
• Andrew Evans Paxson, PHARMD
• Peacehealth (Cottage Grove Community Medical CT)
• Peacehealth (South Lane Medical Group)
• Peacehealth (Cottage Grove Community Medical CT)
• Mary Peckenpaugh
• Eve Peirce, MS, LPC

• Non-Pharmacy Dispensing Site in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Non-Pharmacy Dispensing Site in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.