NPIMap

Organization Active NPI

Peacehealth

  • General Acute Care Hospital
  • Eugene, OR
National Provider Identifier
1164595617
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PEACEHEALTH
Practice address
4010 Aerial Way
Eugene, OR 97402-9757
Phone
(541) 686-7300
Fax
(360) 729-3139
NPI assigned
Nov 15, 2006
Organization subpart
Yes
Parent organization
PEACEHEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
192500MedicaidOR

Other names 1

  • SACRED HEART - UNIV DISTRICT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000616 OR Part B Supplier - Clinic/Group Practice 6709794092 Receives reassigned benefits from 20 practitioners
1 other NPI on this enrollment
Practice locations: Eugene, OR; Springfield, OR

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Sacred Heart General HS2 organizations share this tax ID, including this one
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.

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.

View all 29

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.

Verify at the official NPI Registry.