Peacehealth

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PEACEHEALTH

Practice address

2901 Squalicum Parkway
Bellingham, WA 98225

Phone

(360) 734-5400

Fax

(360) 756-3552

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Dale J Zender

Title

Cfo

Phone

(360) 788-6797

Specialties & licenses 7

Addresses

Other identifiers 5

Other names 1

• St Joseph Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Peacehealth

  • Sleep Disorder Diagnostic Clinic/Center
  • Bellingham, WA
  • NPI 1265692842

  O20031118001062

  Same enrollment
• Peacehealth

  • Internal Medicine Physician
  • Bellingham, WA
  • NPI 1356309553

  O20031118001062

  Same enrollment
• Peacehealth

  • General Acute Care Hospital
  • Bellingham, WA
  • NPI 1689677320

  O20031118001062

  Same enrollment

Member of 1

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

• Peacehealth

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

  Member Of

  NPD member

Locations

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Brenton, ARNP

  • Family Nurse Practitioner
  • Mount Vernon, WA
  • NPI 1154706190
  NPD
• Spencer W Hinds, M.D.

  • Cardiovascular Disease Physician
  • Bellingham, WA
  • NPI 1346246790

  Cardiovascular Disease

  NPD
• Peyman Soltani, M.D.

  • Interventional Cardiology Physician
  • Bellingham, WA
  • NPI 1134317092

  Cardiovascular Disease

  NPD
• William Howard Anderson, M.D.

  • Allergy & Immunology Physician
  • Bellingham, WA
  • NPI 1629031752
  NPD (past)
• Angela Austine Armstrong

  • Pharmacist
  • Bellingham, WA
  • NPI 1871003764
  NPD (past)
• Claire L Beiser, M.D.

  • Infectious Disease Physician
  • Bellingham, WA
  • NPI 1184682809
  NPD (past)
• Nancy K Bischoff, M.D.

  • Pediatrics Physician
  • Bellingham, WA
  • NPI 1114926532
  NPD (past)
• James J. Bochsler, M.D.

  • Pediatrics Physician
  • Bellingham, WA
  • NPI 1194724518
  NPD (past)
• Carmela Marie Carrasco, M.D.

  • Pediatrics Physician
  • Mount Vernon, WA
  • NPI 1659799484
  NPD (past)
• Andrew Thomas Coletti, M.D.

  • Interventional Cardiology Physician
  • Spokane, WA
  • NPI 1255381109

  Cardiovascular Disease

  NPD (past)
• Mark Daniels, M.D.

  • Cardiovascular Disease Physician
  • Bellingham, WA
  • NPI 1831149905

  Cardiovascular Disease

  NPD (past)
• Margaret Marie Dimpfl, PHARMD

  • Pharmacist
  • Bellingham, WA
  • NPI 1275032518
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1457553497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SQUALICUM PARKWAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-734-5400",
            "fax_number": "360-756-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SQUALICUM PARKWAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-734-5400",
            "fax_number": "360-756-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "ZENDER",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "360-788-6797"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1991272",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992833",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7150014",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7010440",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7079056",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Joseph Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth

• All providers in Bellingham, WA
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.