Peacehealth

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEACEHEALTH

Doing business as

St John Medical Center - Outpatient Therapies

Practice address

852 Commerce Ave
Longview, WA 98632-2406

Phone

(360) 501-3750

Fax

(360) 501-3755

NPI assigned

Feb 22, 2008

Last updated

Jul 29, 2011By 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. Thomas Haywood

Title

Regional VP/Cfo

Phone

(360) 414-5797

Specialties & licenses 1

Addresses

Other names 1

• St John Medical Center - Outpatient Therapies 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": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1922277003",
    "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": "360-578-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 COMMERCE AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322406",
            "telephone_number": "360-501-3750",
            "fax_number": "360-501-3755"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St John Medical Center - Outpatient Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 - PeaceHealth Medical Group Ocean Beach)
• Peacehealth St John Medical Center
• Tia Pearrow
• Diana Carole Pearson, BA
• Michael Pearson, AAC
• Pediatric Cardiology Center of Oregon PC

• 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 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.