Active NPI
Peacehealth
Doing business as Sacred Heart - Univ District
- General Acute Care Hospital
- Eugene, OR
National Provider Identifier
1164595617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- PEACEHEALTH
- Doing business as
- Sacred Heart - Univ District
- Practice address
- 4010 Aerial Way
Eugene, OR 97402-9757 - Phone
- (541) 686-7300
- Fax
- (360) 729-3139
- NPI assigned
- Nov 15, 2006
- Last updated
- Aug 1, 2023
- 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
- Jeffrey Seirer
- Title
- Sys VP Fin Integrit/Controller
- Phone
- (360) 729-1132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
4010 Aerial Way
Eugene, OR 97402-9757
Mailing address
1115 SE 164TH Ave Dept 328
Vancouver, WA 98683-8003
Phone (360) 729-1462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192500 | Medicaid | OR |
Other names 1
- SACRED HEART - UNIV DISTRICT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Sacred Heart Hospice
- Community Based Hospice Care Agency
- Springfield, OR
- NPI 1073594065
6709794092
-
dba Sacred Heart Home Health
- Home Health Agency
- Springfield, OR
- NPI 1275524498
6709794092
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Sacred Heart -Univ District
- General Acute Care Hospital
- Eugene, OR
- NPI 1346237971
O20040130000616
National Provider Directory
National Provider Directory- Tax ID family
- Sacred Heart General HS
- Part of
- Sacred Heart General HS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sacred Heart - Univ District
- Non-Pharmacy Dispensing Site
- Eugene, OR
- NPI 1578905261
Locations
677 E 12th Ave
Eugene, OR 97401
Phone (458) 205-7300
677 E 12th Ave
Ste 4
Eugene, OR 97401
Practitioners & affiliated clinicians
Practitioners 29
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.
-
- Family Nurse Practitioner
- Eugene, OR
- NPI 1336456383
-
- Interventional Cardiology Physician
- Springfield, OR
- NPI 1093926081
-
- Nurse Practitioner
- Springfield, OR
- NPI 1710211768
-
- Family Nurse Practitioner
- Springfield, OR
- NPI 1871844506
-
- Cardiovascular Disease Physician
- Springfield, OR
- NPI 1548268790
-
- Geriatric Medicine (Family Medicine) Physician
- Eugene, OR
- NPI 1831861335
-
- Geriatric Medicine (Internal Medicine) Physician
- Eugene, OR
- NPI 1427239334
-
- Family Nurse Practitioner
- Corvallis, OR
- NPI 1093314122
-
- Geriatric Medicine (Family Medicine) Physician
- Eugene, OR
- NPI 1578508214
-
- Nurse Practitioner
- Eugene, OR
- NPI 1548713399
-
- Gerontology Nurse Practitioner
- Eugene, OR
- NPI 1821647173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690848000000",
"number": "1164595617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE DEPT 328",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986838003",
"telephone_number": "360-729-1462",
"fax_number": "360-729-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 AERIAL WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974029757",
"telephone_number": "541-686-7300",
"fax_number": "360-729-3139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEHEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PEACEHEALTH",
"enumeration_date": "2006-11-15",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A",
"authorized_official_last_name": "SEIRER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "SYS VP FIN INTEGRIT/CONTROLLER",
"authorized_official_telephone_number": "360-729-1132"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192500",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SACRED HEART - UNIV DISTRICT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SACRED HEART - UNIV DISTRICT",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.