PEACEHEALTH (NPI# 1578552402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578552402 |
| Entity Type | Organization |
| Organization Name | PEACEHEALTH |
| Other Organization Name | PEACE HARBOR MEDICAL CENTER |
| Practice Address |
400 9th St Florence OR 97439-7398 |
| Mailing Address |
Po Box 569 Eugene OR 97440-0569 |
| Practice Telephone | 5416867191 |
| Practice Fax Number | 5413352325 |
| Mailing Telephone | 5416867191 |
| Mailing Fax Number | 5413352325 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2013-02-27 |
| Authorized Official Name | MRS. DEBBIE A RODET (ADMINISTRATIVE ASST) |
| Authorized Official Telephone | 5419026140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
140711 | OR | Ambulatory Health Care Facilities |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
140711 | OR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NPI | 1982774378 | 01 |
| OR | 000195 | 05 |
| Other Name | Type Code |
|---|---|
| PEACE HARBOR MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255977591 | Peacehealth | Durable Medical Equipment & Medical Supplies | 625 9th Ave Ste 120, Longview, WA 98632-2465 | 2019-11-21 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1669766457 | Peacehealth | General Acute Care Hospital | 787 Woodland Acres Ln, Eugene, OR 97402-9378 | 2011-06-09 |
| 1760427082 | Peacehealth | Home Health | 126 Washington St, Ketchikan, AK 99901-5930 | 2006-06-19 |
| 1912957986 | Peacehealth | Clinical Medical Laboratory | 123 International Way, Springfield, OR 97477-1047 | 2006-05-11 |
| 1083672273 | Peacehealth | Rehabilitation Unit | 809 E Chestnut St, Bellingham, WA 98225-5221 | 2006-05-04 |
| 1447217559 | Peacehealth | Hospice, Inpatient | 2800 Douglas Avenue, Bellingham, WA 98225 | 2006-05-01 |
| 1215918719 | Peacehealth | Hospice Care, Community Based | 2230 Kingwood Street, Florence, OR 97439-9470 | 2005-11-10 |
| 1225019011 | Peacehealth | Home Health | 2230 Kingwood St, Florence, OR 97439-9464 | 2005-11-08 |
| 1346237971 | Peacehealth | General Acute Care Hospital | 1255 Hilyard St, Eugene, OR 97401-3718 | 2005-09-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PEACEHEALTH | 1115 Se 164th Avenue, Vancouver, WA 98683-9324 |
| Washington State Corporations | PEACEHEALTH | 1115 Se 164th Ave Dept. 302, Vancouver, WA 98683 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH | 1115 Se 164th Ave Dept 302, Vancouver, WA 98683 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH - COTTAGE GROVE | 1515 Village Dr, Cottage Grove, OR 97424 |
| Washington State Corporations | PEACEHEALTH ASC BELLINGHAM, LLC | 1115 Se 164th Ave, Dept 302, Vancouver, WA 98683-9324 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER | 1515 Village Dr, Cottage Grove, OR 97424 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER FOUNDATION | 1515 Village Dr, Cottage Grove, OR 97424 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER SWING | 1515 Village Drive, Cottage Grove, OR 97424 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH HOSPITAL MEDICINE | 3333 Riverbend Dr, Springfield, OR 97477 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH LABORATORIES | 123 International Way, Springfield, OR 97477 |
| Street Address |
400 9TH ST |
| City | FLORENCE |
| State | OR |
| Zip Code | 97439-7398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439176 | Robert Earl Bland Jr. | Nurse Anesthetist, Certified Registered | 400 9th St, Florence, OR 97439-7398 | 2005-10-06 |
| 1124506829 | Benjamin Schroder | Physician Assistant | 400 9th St, Florence, OR 97439-7398 | 2018-08-03 |
| 1174069637 | Kristen Anne Dill | Nurse Anesthetist, Certified Registered | 400 9th St, Florence, OR 97439-7398 | 2017-01-09 |
| 1790138261 | Heather Posegate | Nurse Practitioner | 400 9th St, Florence, OR 97439-7398 | 2016-07-19 |
| 1275893968 | Erik F Cooper | Nurse Practitioner | 400 9th St, Florence, OR 97439 | 2012-05-29 |
| 1144551128 | Mohamad A Sabbah | Internal Medicine | 400 9th St, Florence, OR 97439-7398 | 2010-01-14 |
| 1962697920 | Eunlee Chung | Internal Medicine | 400 9th St, Florence, OR 97439-7398 | 2007-09-12 |
| 1043338197 | Radiology Associates, PC | Specialist | 400 9th St, Florence, OR 97439-7398 | 2007-03-27 |
| 1508918848 | Robert Leonard Jacques | Internal Medicine | 400 9th St, Florence, OR 97439-7398 | 2007-01-17 |
| 1609932250 | Robert D Graham | Emergency Medicine | 400 9th St, Florence, OR 97439-7398 | 2006-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586488 | Kelcie-may S Toledo | Pharmacist | 700 Us-101, Florence, OR 97439 | 2020-04-02 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1164944351 | Karie James | Massage Therapist | 2010 11th St, Florence, OR 97439 | 2017-07-10 |
| 1205266046 | Deborah Lynne Grigsby | Counselor | 1490 1st Street, Unit #1, Florence, OR 97439 | 2013-11-14 |
| 1811247398 | Luke Henry | Occupational Therapist | 1951 East 21st Street, Florence, OR 97439 | 2012-09-12 |
| 1144589102 | Ryan Charles Korando | Denturist | 1705 22nd Street, Florence, OR 97439 | 2012-05-11 |
| 1568728640 | Deborah Lynn Pasternak | Massage Therapist | 1495 8th Street, Suite C, Florence, OR 97439 | 2012-04-03 |
| 1275844185 | Serena Appel | Counselor | 1525 12th St Ste 8, Florence, OR 97439 | 2010-06-24 |
| 1669702056 | Monarch Medical Group LLC | Clinic/Center | 2775 Hwy 101, Suite B, Florence, OR 97439 | 2010-01-06 |
| 1871722231 | Aen Brauer | Social Worker | 1445 W 8th St, Florence, OR 97439 | 2009-07-07 |
| Find all providers in zip 97439 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669913562 | Monica Page Irons | General Acute Care Hospital | 20075 County Road 14, Florence, AL 35633-0333 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609328301 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 | 2016-10-28 |
| 1568808285 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 36155 9th St, Room 4, Nehalem, OR 97131-8000 | 2013-05-21 |
| 1154699379 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 10445 Neah-kah-nie Cr Rd, Manzanita, OR 97130 | 2011-12-02 |
| 1730223967 | Coquille Valley Hospital District | General Acute Care Hospital | 940 East Fifth Street, Coquille, OR 97423 | 2007-02-19 |
| 1700809761 | Columbia Lutheran Charities | General Acute Care Hospital | 550 22nd St, Astoria, OR 97103-3312 | 2006-07-25 |
| 1588684484 | Southern Coos Health District | General Acute Care Hospital | 900 11th St Se, Bandon, OR 97411-9114 | 2006-07-20 |
| 1376572099 | Morrow County Health District | General Acute Care Hospital | 564 East Pioneer Drive, Heppner, OR 97836 | 2006-07-03 |
| 1306897491 | Samaritan North Lincoln Hospital | General Acute Care Hospital | 3043 Ne 28th Street, Lincoln City, OR 97367-4518 | 2006-05-13 |
| 1689625980 | Mid Valley Healthcare Inc | General Acute Care Hospital | 525 N Santiam Highway, Lebanon, OR 97355-4363 | 2006-05-12 |
| 1871575225 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1000 3rd St, Tillamook, OR 97141-3430 | 2005-11-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.