NPIMap

Organization Active NPI

Peacehealth

Doing business as St John Medical Center - PeaceHealth Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Longview, WA
National Provider Identifier
1801909171
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PEACEHEALTH
Doing business as
St John Medical Center - PeaceHealth Medical Group
Practice address
1615 Delaware St
Longview, WA 98632-2310
Phone
(360) 414-2000
NPI assigned
Aug 17, 2006
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
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 1

  • St John Medical Center - PeaceHealth Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930073656 WA DME Supplier - HospitalDME Supplier - Physician - General Practice 5890689293 Practice locations: Longview, WA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Peacehealth

    dba St. John Medical Center

    • General Acute Care Hospital
    • Longview, WA
    • NPI 1073510277

    5890689293

    Same PAC ID
  • Peacehealth

    dba St. John Medical Center-PeaceHealth Therapy and Wellness

    • Prosthetic/Orthotic Supplier
    • Longview, WA
    • NPI 1184106437

    5890689293

    Same PAC ID
  • Peacehealth

    dba PeaceHealth Longview Urology

    • Urology Physician
    • Longview, WA
    • NPI 1255977591

    5890689293

    Same PAC ID
  • Peacehealth

    dba St. John Medical Center - PeaceHealth Medical Group

    • Multi-Specialty Clinic/Center
    • Longview, WA
    • NPI 1720056187

    5890689293

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Peacehealth6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 1

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

Locations

1615 Delaware St
Ste B
Longview, WA 98632

1660 Delaware St
Ste B
Longview, WA 98632

928 Fir St
Longview, WA 98632
Phone (360) 578-5946

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1801909171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 364",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-414-2092",
            "fax_number": "360-578-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 DELAWARE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322310",
            "telephone_number": "360-414-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WA",
            "license": "H-026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St John Medical Center - PeaceHealth Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, WA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.