Peacehealth

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEACEHEALTH

Practice address

748 14TH Ave
Longview, WA 98632-2315

Phone

(360) 501-3601

Fax

(360) 501-3648

NPI assigned

Feb 22, 2008

Organization subpart

No

Name

Mr. Thomas Haywood

Title

Regional VP/Cfo

Phone

(360) 414-5797

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

• Peacehealth

  • Community Based Hospice Care Agency
  • Ketchikan, AK
  • NPI 1386362580

  Member Of

  NPD member

Locations

• St John Medical Center - Internal Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2011.

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1821267907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986327154",
            "telephone_number": "360-414-2092",
            "fax_number": "360-575-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322315",
            "telephone_number": "360-501-3601",
            "fax_number": "360-501-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "REGIONAL VP/CFO",
        "authorized_official_telephone_number": "360-414-5797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St John Medical Center - Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth St John Medical Center
• Tia Pearrow
• Diana Carole Pearson, BA

• All providers in Longview, WA
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.