Active NPI
Peacehealth
Doing business as Peacehealth Peace Island Medical Center
- Critical Access Hospital
- Friday Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- Legal business name
- PEACEHEALTH
- Doing business as
- Peacehealth Peace Island Medical Center
- Practice address
- 1117 Spring Street
Friday Harbor, WA 98250-7303 - Phone
- (360) 378-2141
- NPI assigned
- Jun 18, 2012
- 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 |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Primary |
Addresses
Primary practice location
1117 Spring Street
Friday Harbor, WA 98250-7303
Mailing address
1115 SE 164TH Ave Dept 328
Vancouver, WA 98683-8003
Phone (360) 729-1462
Other names 1
- PEACEHEALTH PEACE ISLAND MEDICAL CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121204000225 | WA | Part A Provider - Critical Access Hospital | 9335391044 |
Receives reassigned benefits from 90 practitioners Practice locations: Friday Harbor, WA |
| O20130723000258 | WA | Part A Provider - Critical Access Hospital | 9335391044 | Practice locations: Friday Harbor, WA |
NPI to CCN mapping 3
The Medicare certification numbers (CCNs) connected to NPI 1487917233. Details of each certification follow.
Hospital certification: CCN 501340
- Legal name
- PEACEHEALTH
- Doing business as
- PEACEHEALTH PEACE ISLAND MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- May 3, 2013
- Last certification
- May 3, 2013
- Beds
- 10
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Jun 15, 1976 in WA
- Enrollment address
- 1117 Spring St
Friday Harbor, WA 98250-9782
Hospital certification: CCN 50Z340
- Legal name
- PEACEHEALTH
- Doing business as
- PEACEHEALTH PEACE ISLAND MEDICAL CENTER
- Organization structure
- Corporation
- Incorporated
- Jun 15, 1976 in WA
- Enrollment address
- 1117 Spring St
Friday Harbor, WA 98250-9782
Hospital certification: CCN 500153
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PEACEHEALTH PEACE ISLAND MEDICAL CENTER
- Certification status
- Terminated Other: provider status change, May 3, 2013
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Feb 21, 2013
- Last certification
- Feb 21, 2013
- Beds
- 10
- Ownership / control type
- Private (not for profit)
- Facility address
- 1117 Spring Street
Friday Harbor, WA 98250
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Hospital
Medicare Care Compare- Listed as
- Peacehealth Peace Island Medical Center
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 22
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 | |
| Corporate Officer | 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 | Jul 1, 2012 | 100% |
| Linda Lea Jackson | 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 | |
| Sarah Marie Ness | Corporate Officer | Jan 3, 2026 | |
| Andrea C Nenzel | Corporate Director | Jul 1, 2015 | |
| Donna King | Corporate Director | Jul 1, 2019 | |
| Kevin G Murphy | Corporate Director | Jul 1, 2016 |
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 Home Health of Whatcom County
- Home Health Agency
- Bellingham, WA
- NPI 1710639901
5% Or Greater Direct Ownership Interest
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Vancouver, WA
- NPI 1982326815
5% Or Greater Direct Ownership Interest
-
dba PeaceHealth Hospice
- Community Based Hospice Care Agency
- Ketchikan, AK
- NPI 1386362580
5% Or Greater Direct Ownership Interest
Facilities with the same owner 23
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
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 St Joseph Medical Center
- Community Based Hospice Care Agency
- Bellingham, WA
- NPI 1447217559
Peacehealth
-
dba PeaceHealth Southwest Inpatient Rehabilitation
- Rehabilitation Hospital Unit
- Vancouver, WA
- NPI 1548734205
Peacehealth
-
dba Peacehealth Southwest Hospice
- Inpatient Hospice
- Vancouver, WA
- NPI 1558015057
Peacehealth
-
dba PeaceHealth United General Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Sedro Woolley, WA
- NPI 1568899698
Peacehealth
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Bellingham, WA
- NPI 1689677320
Peacehealth
-
dba PeaceHealth Home Health of Whatcom County
- Home Health Agency
- Bellingham, WA
- NPI 1710639901
Peacehealth
-
dba PeaceHealth United General Medical Center
- Rehabilitation Hospital Unit
- Sedro Woolley, WA
- NPI 1861995714
Peacehealth
-
dba Sacred Heart Hospice
- Community Based Hospice Care Agency
- Springfield, OR
- NPI 1073594065
Peacehealth
Practitioners & affiliated clinicians
Practitioners 94
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 Medicine Physician
- Friday Harbor, WA
- NPI 1043369044
-
- Family Nurse Practitioner
- Bellingham, WA
- NPI 1780636118
-
- Critical Care Medicine (Internal Medicine) Physician
- Bellingham, WA
- NPI 1760845234
-
- Emergency Medicine Physician
- Federal Way, WA
- NPI 1619924206
-
- Pulmonary Disease Physician
- Bellingham, WA
- NPI 1588862924
-
- Obstetrics & Gynecology Physician
- Bellingham, WA
- NPI 1457557894
-
- Colon & Rectal Surgery Physician
- Bellingham, WA
- NPI 1083077481
-
- Pediatrics Physician
- Bellingham, WA
- NPI 1316936164
-
- Family Medicine Physician
- Vancouver, WA
- NPI 1740535343
-
- Gastroenterology Physician
- Bellingham, WA
- NPI 1417339037
-
- Nurse Practitioner
- Seattle, WA
- NPI 1558837930
-
- Internal Medicine Physician
- Friday Harbor, WA
- NPI 1205151990
Affiliated clinicians 144
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Bellingham, WA
- NPI 1861029902
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Anacortes, WA
- NPI 1689672552
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776297600000",
"number": "1487917233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE DEPT 328",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986838003",
"telephone_number": "360-729-1462",
"fax_number": "360-729-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 SPRING STREET",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982507303",
"telephone_number": "360-378-2141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEHEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-18",
"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": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PEACEHEALTH PEACE ISLAND MEDICAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Friday Harbor, WA
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.