Peacehealth

Organization Active NPI Hospice and Palliative Medicine (Internal Medicine) Physician · Longview, WA

NPI 1689394306 · NPPES record last updated Sep 1, 2022

Key facts

NPI
1689394306
Entity type
Organization (NPI type 2)
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X
Legal business name
PEACEHEALTH
Practice address
821 Washington Way
Longview, WA 98632-4027
Phone
(360) 636-8909
NPI assigned
Sep 1, 2022
Organization subpart
No

Authorized official

Name
Jeffrey Seirer
Title
Sys VP Fin Integrity/Controller
Phone
(360) 729-1132

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Peacehealth (9 organizations share this tax ID)

Locations

821 Washington Way
Longview, WA 98632
Phone (360) 696-5103

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RH0002X Yes

Addresses

Primary practice location

821 Washington Way
Longview, WA 98632-4027

Mailing address

1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1458

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 1, 2022.

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1689394306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 WASHINGTON WAY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324027",
            "telephone_number": "360-636-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "SEIRER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "SYS VP FIN INTEGRITY/CONTROLLER",
        "authorized_official_telephone_number": "360-729-1132"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

All providers in Longview, WA · Hospice and Palliative Medicine (Internal Medicine) Physician in Washington

Sources for this page

Verify at the official NPI Registry.