PEACEHEALTH


Address: 126 Washington St, Ketchikan, AK 99901-5930
Phone: 9072258914

PEACEHEALTH (NPI# 1760427082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760427082
Entity Type Organization
Organization Name PEACEHEALTH
Other Organization Name KETCHIKAN MEDICAL CENTER HOME HEALTH
Practice Address 126 Washington St
Ketchikan
AK 99901-5930
Mailing Address Po Box 1798
Bellingham
WA 98227-1798
Practice Telephone 9072258914
Practice Fax Number 9072478914
Mailing Telephone 3607345400
Mailing Fax Number 3607156552
Enumeration Date 2006-06-19
Last Update Date 2012-01-12
Authorized Official Name PATRICK J. BRANCO (CEO)
Authorized Official Telephone 9072288300
Is Organization Subpart Y
Parent Organization Name KETCHIKAN MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health NO NUMBER ASSIGN AK Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AK HH5794 05

Other Provider/Organization Names

Other Name Type Code
Ketchikan Medical Center Home Health Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Other Data Sources

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

Office Location

Street Address 126 WASHINGTON ST
City KETCHIKAN
State AK
Zip Code 99901-5930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750929014 Akeela Inc Substance Abuse Rehabilitation Facility 126 Washington St, Ketchikan, AK 99901-5954 2019-12-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992314215 Residential Youth Care, Inc. Community/Behavioral Health 2442 Tongass Avenue, Ketchikan, AK 99901 2020-07-23
1316563026 Residential Youth Care, Inc. Community/Behavioral Health 606 Hill Road, Ketchikan, AK 99901 2020-06-18
1043836851 Residential Youth Care, Inc. Community/Behavioral Health 2514 1st Avenue, Ketchikan, AK 99901 2020-06-18
1215553029 Residential Youth Care, Inc. Community/Behavioral Health 2951 Baranof Avenue, Ketchikan, AK 99901 2020-06-18
1174159222 Helene Rae Simpson Behavior Technician 201 Deermont St, Ketchikan, AK 99901 2020-03-20
1003295155 Suzanne Webb Massage Therapist 602 Dock St Ste 106, Ketchikan, AK 99901 2015-05-22
1093194342 Kate Mortensen Case Manager/Care Coordinator 2690 Tongass Ave, Ketchikan, AK 99901 2015-05-20
1578879631 Thomas Peter Ryan Social Worker 320 Bawden St. #318, Ketchikan, AK 99901 2010-08-27
1689820979 Akeela Inc Community Based Residential Treatment Facility, Mental Illness 3050 Fifth Ave, Ketchikan, AK 99901 2008-08-18
1750565438 Susan Marie Swift Nurse Practitioner 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 2007-12-18
Find all providers in zip 99901

Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093998163 Community Connections Home Health 721 Stedman St, Ketchikan, AK 99901-6632 2007-12-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417434150 Shannon L Mckenzie Home Health 3913 Lynn Dr, Anchorage, AK 99508-5745 2018-07-25
1578065793 Aderonke Akindipe Fnp LLC Home Health 2942 Gladys Marie Cir # Q, Anchorage, AK 99516-1407 2018-03-03
1952815706 Southeast Alaska Regional Health Consortium Home Health 814 Halibut Point Rd Ste 202, Sitka, AK 99835-7101 2017-11-30
1609311430 Shine Bright Care, LLC Home Health 6407 Brayton Dr Ste 100, Anchorage, AK 99507-2149 2017-01-03
1639521214 Shine Bright Care Home Health 3007 Arctic Blvd Spc 2, Anchorage, AK 99503-3478 2016-07-07
1023493269 Wellspring Home Health Center, LLC Home Health 201 E. Swanson Avenue, Suite 7, Wasilla, AK 99654 2015-07-29
1336540624 Alaskan Home Health, Inc Home Health 9191 Old Seward Hwy Ste 19a, Anchorage, AK 99515-2040 2014-09-06
1992105787 Immediate Care Inc. Home Health 4851 E Blue Lupine Dr, Suite B, Wasilla, AK 99654-8411 2014-08-28
1366865859 Infinite Care of Alaska LLC Home Health 165 East 56th Ave., Suite #3, Anchorage, AK 99518 2014-02-04
1700207701 Hearts & Hands of Care Home Health 1401 S Seward Meridian Pkwy, Suite A & B, Wasilla, AK 99654-8312 2013-12-18
Find all providers with the same taxonomy

Competitor

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City KETCHIKAN
Zip Code 99901

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Dataset Information

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.

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