Peacehealth
Organization Active NPI Durable Medical Equipment & Medical Supplies · Longview, WA
NPI 1801909171 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1801909171
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- PEACEHEALTH
- Practice address
- 1615 Delaware St
Longview, WA 98632-2310 - Phone
- (360) 414-2000
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Arthur Craig Springer II
- Title
- Sys VP Fin Integrity/Controller
- Phone
- (360) 729-1132
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 5
Member of 1
Practitioners 188
-
Shawn J. Aaron, MD
-
Nichole D Adams, ARNP
-
Camilla T Allen, MD
-
Kevin Ransom Au, M.D.
-
Robert C Axelrod, MD
-
Kyle Nathan Backer, M.D.
-
Lee Bendickson, CRNA
-
Matthew Andrew Bolsoy, CRNA
-
Jacob D Boston, CRNA
-
Baljinder Brar, M.D.
-
Simrandeep Kaur Brar, M.D.
-
George M Brennan, MD
-
Aaron Mark Brown, M.D.
-
Christine Amber Bruce, ARNP
-
Kirsten G Buswell, D.C., ARNP-FNP
-
Amy M Canada, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930073656 | WA | DME Supplier - Hospital |
5890689293 | Practice locations: Longview, WA |
National Provider Directory
- Tax ID family
- Columbia Valley Medical
Locations
1615 Delaware St
Ste B
Longview, WA 98632
1660 Delaware St
Longview, WA 98632
Phone (360) 414-2800
1660 Delaware St
Ste B
Longview, WA 98632
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | H-026 | WA |
Addresses
Primary practice location
1615 Delaware St
Longview, WA 98632-2310
Mailing address
1115 SE 164TH Ave Dept 364
Vancouver, WA 98683-8004
Phone (360) 414-2092
Other names
- St John Medical Center - PeaceHealth Medical Group
Other providers in Longview, WA
- Peacehealth
- Peacehealth
- Peacehealth
- Peacehealth
- Peacehealth
- Peacehealth
- Peacehealth
- Peacehealth
- Peacehealth
- Peacehealth St John Medical Center
All providers in Longview, WA · Durable Medical Equipment & Medical Supplies in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.