Peacehealth Medical Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEACEHEALTH MEDICAL GROUP

Doing business as

Peacehealth Medical Group Urgent Care

Practice address

3321 W 11TH Ave
Eugene, OR 97402-3040

Phone

(541) 222-7200

Fax

(541) 484-3060

NPI assigned

Dec 29, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wendy Apland

Title

Cfo

Phone

(541) 222-2007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PEACEHEALTH MEDICAL GROUP URGENT CARE Doing business as

Member of 1

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

• Peacehealth

  dba PeaceHealth Hospice

  • Community Based Hospice Care Agency
  • Ketchikan, AK
  • NPI 1386362580

  Member Of

  NPD member

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1447554746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24410",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974020451",
            "telephone_number": "541-685-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 W 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023040",
            "telephone_number": "541-222-7200",
            "fax_number": "541-484-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "APLAND",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-222-2007"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171634",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEACEHEALTH MEDICAL GROUP URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peacehealth Medical Group (Woodfield Station)
• Peacehealth Medical Group (Hilyard Clinic)
• Peacehealth Medical Group
• Peacehealth Medical Group (South Clinic)
• Peacehealth Medical Group
• Peacehealth Medical Group (PeaceHealth Medical Group Santa Clara)
• Peacehealth Medical Group (South Clinic)
• Peacehealth Medical Group (Nurse Midwifery Birth Center)
• Peacehealth Medical Group (University District)
• Peacehealth Medical Group (Coburg Clinic)

• Durable Medical Equipment & Medical Supplies in Eugene, OR
• Providers in Eugene, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.