Organization Active NPI

Peacehealth

Doing business as Sacred Heart -Univ District

  • General Acute Care Hospital
  • Eugene, OR
National Provider Identifier
1346237971
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
140014 Issued in OR
Legal business name
PEACEHEALTH
Doing business as
Sacred Heart -Univ District
Practice address
1255 Hilyard St
Eugene, OR 97401-3718
Phone
(541) 686-7300
Fax
(360) 729-3139
NPI assigned
Sep 29, 2005
Last updated
Jul 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 140014 OR Primary

Addresses

Primary practice location

1255 Hilyard St
Eugene, OR 97401-3718

Mailing address

1115 SE 164TH Ave Dept 328
Vancouver, WA 98683-8003
Phone (360) 729-1462

Other identifiers 2

IdentifierTypeStateIssuer
1164595617OtherORNPI
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
This NPI is an additional NPI on the enrollment
Practice locations: Eugene, OR; Springfield, OR

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

677 E 12th Ave
Eugene, OR 97401
Phone (458) 205-7300

677 E 12th Ave
Ste N170
Eugene, OR 97401
Phone (458) 205-7200

677 E 12th Ave
Ste N200
Eugene, OR 97401
Phone (541) 461-7500

123 International Way
Springfield, OR 97477
Phone (541) 341-8033

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1346237971",
    "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": "1255 HILYARD ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013718",
            "telephone_number": "541-686-7300",
            "fax_number": "360-729-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "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": "OR",
            "license": "140014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164595617",
            "state": "OR"
        },
        {
            "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 Jul 31, 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.