Peacehealth

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEACEHEALTH

Doing business as

St John Medical Center - PeaceHealth Medical Group Ocean Beach

Practice address

812 Ocean Beach Hwy
Ste. 200
Longview, WA 98632-4082

Phone

(360) 636-6900

NPI assigned

Apr 28, 2010

Last updated

Sep 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tom Haywood

Title

Network Cfo

Phone

(360) 414-2000

Specialties & licenses 3

Addresses

Other names 1

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

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

Locations

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1871810945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE",
            "address_2": "DEPT. 364",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839324",
            "telephone_number": "360-414-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 OCEAN BEACH HWY",
            "address_2": "STE. 200",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324082",
            "telephone_number": "360-636-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "NETWORK CFO",
        "authorized_official_telephone_number": "360-414-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St John Medical Center - PeaceHealth Medical Group Ocean Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peacehealth
• Peacehealth (St. John Medical Center - PeaceHealth Medical Group)
• Peacehealth (St John Medical Center - PeaceHealth Medical Group)
• Peacehealth (PeaceHealth St John Medical Center Pharmacy)
• Peacehealth (St John Medical Center - Internal Medicine)
• Peacehealth (St John Medical Center - Outpatient Therapies)
• Peacehealth St John Medical Center
• Tia Pearrow
• Diana Carole Pearson, BA
• Michael Pearson, AAC

• Durable Medical Equipment & Medical Supplies in Longview, WA
• Providers in Longview, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.