Active NPI
Peacehealth
Doing business as St Joseph Medical Center
- Multi-Specialty Clinic/Center
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PEACEHEALTH
- Doing business as
- St Joseph Medical Center
- Practice address
- 2901 Squalicum Parkway
Bellingham, WA 98225 - Phone
- (360) 734-5400
- Fax
- (360) 756-3552
- NPI assigned
- Jun 1, 2007
- Last updated
- Feb 16, 2011
- 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
- Dale J Zender
- Title
- Cfo
- Phone
- (360) 788-6797
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Pediatric Cardiology Physician | 2080P0202X | |||
| Neurodevelopmental Disabilities Physician | 2084P0005X | |||
| Psychiatry Physician | 2084P0800X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | WA | Primary |
Addresses
Primary practice location
2901 Squalicum Parkway
Bellingham, WA 98225
Mailing address
2901 Squalicum Parkway
Bellingham, WA 98225
Phone (360) 734-5400
Other names 1
- St Joseph Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118001062 | WA | Part B Supplier - Clinic/Group Practice | 9537073960 |
Receives reassigned benefits from 452 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bellingham, WA; Lynden, WA; Burlington, WA; Anacortes, WA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba PeaceHealth Medical Group
- Sleep Disorder Diagnostic Clinic/Center
- Bellingham, WA
- NPI 1265692842
O20031118001062
-
dba PeaceHealth Medical Group
- Internal Medicine Physician
- Bellingham, WA
- NPI 1356309553
O20031118001062
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Bellingham, WA
- NPI 1689677320
O20031118001062
National Provider Directory
National Provider DirectoryLocations
2800 Douglas Ave
Bellingham, WA 98225
Phone (360) 733-5877
2979 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 788-6800
3015 Squalicum Pkwy
Ste 210
Bellingham, WA 98225
Phone (360) 738-9570
3125 Old Fairhaven Pkwy
Ste 10
Bellingham, WA 98225
4465 Cordata Pkwy
Ste 102
Bellingham, WA 98226
Phone (360) 752-5280
4465 Cordata Pkwy
Ste C
Bellingham, WA 98226
Phone (360) 752-5280
4545 Cordata Pkwy
Ste 1
Bellingham, WA 98226
4545 Cordata Pkwy
Ste 1B
Bellingham, WA 98226
Phone (360) 752-5216
4545 Cordata Pkwy
Ste 1F
Bellingham, WA 98226
Phone (360) 752-5246
4545 Cordata Pkwy
Ste 2B
Bellingham, WA 98226
Phone (360) 752-5220
4545 Cordata Pkwy
Ste 2C
Bellingham, WA 98226
Phone (360) 752-5165
4545 Cordata Pkwy
Ste 2D
Bellingham, WA 98226
Phone (360) 752-5165
800 E Chestnut St
Ste 3E
Bellingham, WA 98225
Phone (360) 715-6565
1610 Grover St
Ste C6
Lynden, WA 98264
Phone (360) 752-5280
Practitioners & affiliated clinicians
Practitioners 39
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.
-
- Family Nurse Practitioner
- Mount Vernon, WA
- NPI 1154706190
-
- Cardiovascular Disease Physician
- Bellingham, WA
- NPI 1346246790
-
- Interventional Cardiology Physician
- Bellingham, WA
- NPI 1134317092
Cardiovascular Disease
-
- Allergy & Immunology Physician
- Bellingham, WA
- NPI 1629031752
-
- Pharmacist
- Bellingham, WA
- NPI 1871003764
-
- Infectious Disease Physician
- Bellingham, WA
- NPI 1184682809
-
- Pediatrics Physician
- Bellingham, WA
- NPI 1114926532
-
- Pediatrics Physician
- Bellingham, WA
- NPI 1194724518
-
- Pediatrics Physician
- Mount Vernon, WA
- NPI 1659799484
-
- Interventional Cardiology Physician
- Spokane, WA
- NPI 1255381109
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Bellingham, WA
- NPI 1831149905
-
- Pharmacist
- Bellingham, WA
- NPI 1275032518
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St Joseph Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellingham, WA
- Peacehealth (St Joseph Medical Center)
- Peacehealth (PeaceHealth Medical Group)
- Peacehealth (PeaceHealth Medical Group)
- Peacehealth (St Joseph Medical Center)
- Peacehealth (St Joseph Medical Center)
- Peacehealth (St. Joseph Medical Center)
- Peacehealth (Peacehealth Laboratories)
- Peacehealth (St Joseph Medical Center)
- Peacehealth (PeaceHealth Home Health of Whatcom County)
- Peacehealth (St Joseph Medical Center)
Sources for this page
- 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.