Organization Active NPI

Peacehealth

Doing business as Peace Harbor Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Florence, OR
National Provider Identifier
1356459606
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
140711 Issued in OR
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
Incorporated
Jun 15, 1976 in WA
Enrollment address
400 9TH St
Florence, OR 97439-7398
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Peacehealth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

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

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.

NameRoleSinceShare
Charlotte Virgia Davenport Individual Corporate DirectorBoard Member Jul 1, 2016
Ione S Adams Individual Corporate DirectorBoard of Director Member Jul 1, 2024
Leonard W Kearney Individual Corporate DirectorBoard Member Jan 1, 2011
Thomas Karnes Individual Corporate OfficerSr. Vice President, General Counsel Jan 27, 2023
Lorraine Arvin Individual Corporate DirectorBoard of Director Member Jul 1, 2024
Danny W Hollingshead Individual Corporate DirectorBoard Member Jun 1, 2017
Richard Harry Wollenberg Individual Corporate DirectorBoard Member Jan 21, 2014
Timothy Ackman Individual Corporate DirectorBoard Member Jul 1, 2017
Carolyn Aaron Individual Corporate DirectorBoard of Director Jan 1, 2021
Arthur Craig Springer II Individual Corporate OfficerSys VP Fin Integrity/Controller Nov 3, 2025
Peacehealth Organization, Vancouver, WA Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Apr 15, 2013 100%
Operational/Managerial Control Apr 15, 2013
Linda Lea Jackson Individual Corporate DirectorSystem Director Jul 15, 2023
W-2 Managing Employee Jul 15, 2023
Elizabeth V Dunne Individual Corporate OfficerPresident Dec 1, 2015
Richard E Magnuson Individual Corporate OfficerEvp, Chief Financial Officer Jun 16, 2025
Deleesa Meashintubby Individual Corporate DirectorBoard of Director Jun 30, 2023
Mary McWilliams Individual Corporate DirectorBoard of Director Sep 24, 2021
Kathleen Lee Pruitt Individual Corporate DirectorBoard Member Jul 1, 2015
Sheila Lemieux Individual Corporate DirectorBoard of Director Member Sep 27, 2024
Andrea C Nenzel Individual Corporate DirectorBoard Member Jul 1, 2015
Donna King Individual Corporate DirectorBoard of 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.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regency FlorenceFlorence, OR, CCN 385142 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.

Facilities with the same owner 23

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 23

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.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.