Active NPI
Peacehealth
Doing business as Peace Harbor Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Florence, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 140711
- Legal business name
- PEACEHEALTH
- Doing business as
- Peace Harbor Medical Center
- Practice address
- 400 9TH St
Florence, OR 97439-7398 - Phone
- (541) 997-8412
- Fax
- (541) 997-9155
- NPI assigned
- Aug 28, 2006
- Last updated
- Apr 16, 2026
- Organization subpart
- No
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 |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 140711 | OR | Primary |
Addresses
Primary practice location
400 9TH St
Florence, OR 97439-7398
Mailing address
400 9TH St
Florence, OR 97439-7398
Phone (541) 997-8412
Other names 1
- PEACE HARBOR MEDICAL CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070418000146 | OR | Part A Provider - Critical Access Hospital | 4587573001 |
Receives reassigned benefits from 3 practitioners Practice locations: Florence, OR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1356459606. Details of each certification follow.
Hospital certification: CCN 38Z316
- Legal name
- PEACEHEALTH
- Doing business as
- PEACE HARBOR MEDICAL CENTER
- Organization structure
- Corporation
- Incorporated
- Jun 15, 1976 in WA
- Enrollment address
- 400 9TH St
Florence, OR 97439-7398
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Peace Harbor Medical Center
- Critical Access Hospital
- Florence, OR
- NPI 1578552402
Unit of hospital
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Peace Harbor Medical Center
- Critical Access Hospital
- Florence, OR
- NPI 1578552402
4587573001
-
dba Peace Harbor Medical Center
- Multi-Specialty Clinic/Center
- Florence, OR
- NPI 1982774378
4587573001
National Provider Directory
National Provider Directory- Tax ID family
- Peacehealth
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cottage Grove Community Medical CT
- Critical Access Hospital
- Cottage Grove, OR
- NPI 1902892391
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba PeaceHealth Home Health of Whatcom County
- Home Health Agency
- Bellingham, WA
- NPI 1710639901
Member Of
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 | Apr 15, 2013 | 100% |
| Operational/Managerial Control | Apr 15, 2013 | ||
| Linda Lea Jackson | Corporate Director | Jul 15, 2023 | |
| W-2 Managing Employee | Jul 15, 2023 | ||
| Elizabeth V Dunne | Corporate Officer | Dec 1, 2015 | |
| Richard E Magnuson | Corporate Officer | Jun 16, 2025 | |
| Deleesa Meashintubby | Corporate Director | Jun 30, 2023 | |
| Mary McWilliams | Corporate Director | Sep 24, 2021 | |
| Kathleen Lee Pruitt | Corporate Director | Jul 1, 2015 | |
| Sheila Lemieux | Corporate Director | Sep 27, 2024 | |
| Andrea C Nenzel | Corporate Director | Jul 1, 2015 | |
| 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 Hospice
- Community Based Hospice Care Agency
- Ketchikan, AK
- NPI 1386362580
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba PeaceHealth Home Health of Whatcom County
- Home Health Agency
- Bellingham, WA
- NPI 1710639901
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Vancouver, WA
- NPI 1982326815
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Regency Florence | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2005 Aug 19, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Florence, OR
- NPI 1841238425
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 23
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Sacred Heart Hospice
- Community Based Hospice Care Agency
- Springfield, OR
- NPI 1073594065
Peacehealth
-
dba Sacred Heart-RiverBend
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
Peacehealth
-
dba Sacred Heart Home Health
- Home Health Agency
- Springfield, OR
- NPI 1275524498
Peacehealth
-
dba Peace Harbor Medical Center
- Critical Access Hospital
- Florence, OR
- NPI 1578552402
Peacehealth
-
dba Cottage Grove Community Medical CT
- Critical Access Hospital
- Cottage Grove, OR
- NPI 1902892391
Peacehealth
-
dba St. John Medical Center
- General Acute Care Hospital
- Longview, WA
- NPI 1073510277
Peacehealth
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
Peacehealth
-
dba PeaceHealth United General Medical Center
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
Peacehealth
-
dba Peacehealth Southwest Home Health
- Home Health Agency
- Vancouver, WA
- NPI 1285720896
Peacehealth
-
dba PeaceHealth Hospice
- Community Based Hospice Care Agency
- Ketchikan, AK
- NPI 1386362580
Peacehealth
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Emergency Medicine Physician
- Lebanon, OR
- NPI 1548337801
-
- Physician Assistant
- Florence, OR
- NPI 1225469695
-
- Child & Adolescent Psychiatry Physician
- Saint Joseph, MO
- NPI 1063477545
OR
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Student in an Organized Health Care Education/Training Program
- Long Beach, CA
- NPI 1144802109
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776297600000",
"number": "1356459606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 9TH ST",
"city": "FLORENCE",
"state": "OR",
"postal_code": "974397398",
"telephone_number": "541-997-8412",
"fax_number": "541-997-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 9TH ST",
"city": "FLORENCE",
"state": "OR",
"postal_code": "974397398",
"telephone_number": "541-997-8412",
"fax_number": "541-997-9155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEHEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-28",
"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": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "OR",
"license": "140711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PEACE HARBOR MEDICAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Florence, OR
- David Y Park, M.D.
- Justine E Parker, D.O.
- Deborah Lynn Pasternak, LMT
- Peacehealth (Peace Harbor Hospice)
- Peacehealth (Peace Harbor Home Health)
- Peacehealth (Peace Harbor Medical Center)
- Peacehealth (Peace Harbor Medical Center)
- Paul E. Pearson, M.D.
- Cameron Peddycord
- Jacqueline Marie Pendergrass, LPN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.