PEACEHEALTH (NPI# 1669766457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669766457 |
| Entity Type | Organization |
| Organization Name | PEACEHEALTH |
| Other Organization Name | COTTAGE GROVE COMMUNITY HOSPITAL |
| Practice Address |
787 Woodland Acres Ln Eugene OR 97402-9378 |
| Mailing Address |
3333 Riverbend Dr Springfield OR 97477-8800 |
| Practice Telephone | 5412856226 |
| Mailing Telephone | 5412227300 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |
| Authorized Official Name | MR. MEL PAYNE (CEO) |
| Authorized Official Telephone | 5412222000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| Other Name | Type Code |
|---|---|
| Cottage Grove Community Hospital | 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 |
| 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 |
| 1689677320 | Peacehealth | General Acute Care Hospital | 2901 Squalicum Pkwy, Bellingham, WA 98225-1851 | 2005-05-25 |
| 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 |
787 WOODLAND ACRES LN |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-9378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811130149 | Sky Lakes Medical Center | General Acute Care Hospital | 5471 Glenridge Way, Klamath Falls, OR 97603-3954 | 2009-04-16 |
| 1306842752 | Mid-columbia Medical Center | General Acute Care Hospital | 1700 E 19th St, The Dalles, OR 97058-3317 | 2005-06-21 |
| 1801241120 | Amanda Emmert | General Acute Care Hospital | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2016-04-25 |
| 1154729119 | Providence Newberg Pharmacy | General Acute Care Hospital | 1001 Providence Dr, Newberg, OR 97132-7485 | 2014-12-08 |
| 1447519954 | Silverton Health | General Acute Care Hospital | 1475 Mount Hood Ave, Woodburn, OR 97071-9066 | 2012-05-04 |
| 1336457829 | Lee Ghorbanian | General Acute Care Hospital | 482 Lancaster Dr Ne, Salem, OR 97301-4784 | 2010-09-17 |
| 1508174285 | Lee Ghorbanian I Ltd | General Acute Care Hospital | 13908 Se Stark St, Space B, Portland, OR 97233-2161 | 2010-09-16 |
| 1265747331 | John J. Lee Dds PC | General Acute Care Hospital | 12755 Sw 2nd St, Suite A, Beaverton, OR 97005-2767 | 2010-08-13 |
| 1053583377 | Jennifer M. Soyke, M.d., P.C. | General Acute Care Hospital | 2700 Stewart Parkway, Mercy Medical Center Emergency Department, Roseburg, OR 94740 | 2008-03-26 |
| 1275728206 | North Bend Medical Center | General Acute Care Hospital | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2007-09-12 |
| Find all providers with the same taxonomy | ||||
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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.