Active NPI
Peacehealth
Doing business as PeaceHealth Southwest Inpatient Rehabilitation
- Rehabilitation Hospital Unit
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- Legal business name
- PEACEHEALTH
- Doing business as
- PeaceHealth Southwest Inpatient Rehabilitation
- Practice address
- 400 NE Mother Joseph PL
Vancouver, WA 98664-3200 - Phone
- (360) 514-3294
- Fax
- (360) 514-3185
- NPI assigned
- Jan 16, 2019
- Last updated
- Apr 16, 2026
- Organization subpart
- Yes
- Parent organization
- PEACEHEALTH
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 |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | Primary |
Addresses
Primary practice location
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Mailing address
1115 SE 164TH Ave
Vancouver, WA 98683-9324
Phone (360) 729-1041
Other names 1
- PeaceHealth Southwest Inpatient Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130214000199 | WA | Part A Provider - Hospital | 9739092065 |
1 other NPI on this enrollment Practice locations: Vancouver, WA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1548734205. Details of each certification follow.
Hospital certification: CCN 50T050
- Legal name
- PEACEHEALTH
- Organization structure
- Corporation
- Incorporated
- Jul 20, 1966 in WA
- Enrollment address
- 400 NE Mother Joseph PL
Vancouver, WA 98664-3200 - Hospital subgroups
- Acute care, Rehabilitation unit
Related certifications (CCN) 2
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba PeaceHealth SW Heart & Vascular Center
- Cardiovascular Disease Physician
- Vancouver, WA
- NPI 1003194911
Unit of hospital
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
Unit of hospital
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
9739092065
-
dba Peacehealth Southwest Home Health
- Home Health Agency
- Vancouver, WA
- NPI 1285720896
9739092065
-
dba Peacehealth Southwest Hospice
- Inpatient Hospice
- Vancouver, WA
- NPI 1558015057
9739092065
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
O20130214000199
Care Compare: Inpatient rehabilitation facility
Medicare Care Compare- Listed as
- Southwest Washington Med Ctr
- Ownership
- Non-profit
- Certified
- Oct 1, 1994
National Provider Directory
National Provider Directory- Tax ID family
- Peacehealth
- Part of
- Peacehealth
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nutritionist
- Vancouver, WA
- NPI 1376921627
-
- Community/Retail Pharmacy
- Vancouver, WA
- NPI 1275744294
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1891785903
-
- Health Service Clinic/Center
- Vancouver, WA
- NPI 1447460514
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba PeaceHealth Home Health of Whatcom County
- Home Health Agency
- Bellingham, WA
- NPI 1710639901
Member Of
Member organizations 4
Organizations listed as members of this organization in the National Provider Directory.
-
dba Southwest Imaging Centers
- Diagnostic Radiology Physician
- Vancouver, WA
- NPI 1114008737
Member Of
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
Member Of
Ownership & related parties
All disclosed owners & managing parties 21
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 | |
| 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 | Jan 1, 2013 | 100% |
| Linda Lea Jackson | Corporate Director | Jul 15, 2023 | |
| W-2 Managing Employee | Jul 15, 2023 | ||
| 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 | |
| Karl Joseph Carrier | Corporate Director | Jul 1, 2016 | |
| Donna King | Corporate Director | Jul 1, 2019 |
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 Peace Island Medical Center
- Critical Access Hospital
- Friday Harbor, WA
- NPI 1487917233
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 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Vancouver, WA
- NPI 1508109349
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Vancouver, WA
- NPI 1508109349
Inpatient rehabilitation facility
-
- Physical Medicine & Rehabilitation Physician
- Vancouver, WA
- NPI 1033799739
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776297600000",
"number": "1548734205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839324",
"telephone_number": "360-729-1041",
"fax_number": "360-501-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NE MOTHER JOSEPH PL",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643200",
"telephone_number": "360-514-3294",
"fax_number": "360-514-3185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEHEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PEACEHEALTH",
"enumeration_date": "2019-01-16",
"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": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PeaceHealth Southwest Inpatient Rehabilitation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PeaceHealth Southwest Inpatient Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Vancouver, WA
- Peaceful Hillside Afh LLC
- Peacehealth (PeaceHealth SW Heart & Vascular Center)
- Peacehealth (PeaceHealth Southwest Medical Center)
- Peacehealth (Peacehealth Southwest Home Health)
- Peacehealth
- Peacehealth (Peacehealth Southwest Hospice)
- Peacehealth (PeaceHealth Southwest Pharmacy at Medical Center)
- Peacehealth (PeaceHealth Medical Group)
- Peacehealth
- Peacehealth (Peacehealth Medical Group-Optical Shop Vancouver Network)
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.