Peacehealth

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

38D0626706 Issued in OR

Legal business name

PEACEHEALTH

Practice address

123 International Way
Springfield, OR 97477-1047

Phone

(541) 341-8020

Fax

(541) 341-8064

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Larry Morrison

Title

Chief Financial Officer

Phone

(541) 341-8020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PEACEHEALTH LABORATORIES Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1912957986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77003",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974010140",
            "telephone_number": "541-341-8020",
            "fax_number": "541-341-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 INTERNATIONAL WAY",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771047",
            "telephone_number": "541-341-8020",
            "fax_number": "541-341-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-341-8020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": "38D0626706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBPART NPI",
            "identifier": "1518113042",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167520",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEACEHEALTH LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth
• Peacehealth Medical Group
• Peacehealth Medical Group
• Peacehealth Medical Group
• Peacehealth Medical Group

• Clinical Medical Laboratory in Springfield, OR
• Providers in Springfield, OR by specialty
• Clinical Medical Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.