NPIMap

Organization Active NPI

Peacehealth

Doing business as St Joseph Medical Center

  • Psychiatric Hospital Unit
  • Bellingham, WA
National Provider Identifier
1710945910
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
PEACEHEALTH
Doing business as
St Joseph Medical Center
Practice address
2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone
(360) 734-5400
Fax
(360) 756-6830
NPI assigned
May 4, 2006
Last updated
Oct 10, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ST JOSEPH HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dale J Zender
Title
Chief Financial Officer
Phone
(360) 788-6313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

2901 Squalicum Pkwy
Bellingham, WA 98225-1851

Mailing address

2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 734-5400

Other identifiers 1

IdentifierTypeStateIssuer
2006942MedicaidWA

Other names 1

  • St Joseph Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
St Josephs Ultrasound

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Peacehealth

    dba PeaceHealth Home Health of Whatcom County

    • Home Health Agency
    • Bellingham, WA
    • NPI 1710639901

    Member Of

    NPD member

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1710945910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251851",
            "telephone_number": "360-734-5400",
            "fax_number": "360-756-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251851",
            "telephone_number": "360-734-5400",
            "fax_number": "360-756-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JOSEPH HOSPITAL",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "ZENDER",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "360-788-6313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006942",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Joseph Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.