Peacehealth Medical Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEACEHEALTH MEDICAL GROUP

Practice address

3377 Riverbend Dr
Springfield, OR 97477

Phone

(541) 685-1982

NPI assigned

Sep 22, 2008

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

• RIVERBEND PAVILION Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1528218005",
    "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": "3377 RIVERBEND DR",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97477",
            "telephone_number": "541-685-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "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": "RIVERBEND PAVILION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth Medical Group
• Peacehealth Medical Group
• Peacehealth Medical Group
• Peacehealth Networks on Demand, LLC
• Peacehealth Riverbend LLC

• Durable Medical Equipment & Medical Supplies in Springfield, OR
• Providers in Springfield, 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.
• 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.

Verify at the official NPI Registry.