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ST JOHN MEDICAL CENTER - PEACEHEALTH MEDICAL GROUP CASTLE ROCK
NPI 1003134834
Durable Medical Equipment & Medical Supplies in Castle Rock, WA

Active since May 04, 2010
139 1ST AVE SW, CASTLE ROCK, WA 98611(360) 274-2353(360) 274-2354 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St John Medical Center - Peacehealth Medical Group Castle Rock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST JOHN MEDICAL CENTER - PEACEHEALTH MEDICAL GROUP CASTLE ROCK (NPI 1003134834) is a healthcare organization registered as a durable medical equipment & medical supplies in Castle Rock, Washington and active in the NPI registry since May 2010. The organization lists Tom Haywood, Regional Cfo, as its authorized official.

NPPES Registry Identity

NPI1003134834
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePEACEHEALTH
Location Address139 1ST AVE SWCastle Rock, WA 98611
Mailing AddressPo Box 160Castle Rock, WA 98611-0160 · (360) 274-2353
Phone(360) 274-2353
Fax(360) 274-2354
Organization SubpartNo
Authorized OfficialTom HaywoodRegional Cfo · (360) 414-2000
Enumeration DateMay 4, 2010
Last NPPES UpdateJuly 29, 2011
✔ NPI 1003134834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
139 1ST AVE SW, Castle Rock, WA 98611
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Other Names 1

Doing Business AsSt John Medical Center - Peacehealth Medical Group Castle Rock

Other Identifiers 1

Medicare NSC0466190007WA

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY L MADDEN ARNP
Nurse Practitioner (Family)
139 1ST AVE SW
CASTLE ROCK, WA 98611
Cowlitz County (360) 814-2353
SEAN NOEL MURRAY FNP-BC
Nurse Practitioner (Family)
139 1ST AVE SW
CASTLE ROCK, WA 98611
Cowlitz County (360) 274-2353
REINHILD ELISABETH AYOUB MD
Pediatrics
139 1ST AVE SW
CASTLE ROCK, WA 98611
Cowlitz County (360) 274-6349
COWLITZ FAMILY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
139 1ST AVE SW
CASTLE ROCK, WA 98611
Cowlitz County (360) 274-2353
BEVERLY M SEARCH ARNP
Nurse Practitioner
139 1ST AVE SW
CASTLE ROCK, WA 98611
Cowlitz County (360) 274-2353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peacehealth's NPI number?

The NPI number for Peacehealth is 1003134834. It was assigned to this organization in the NPPES registry on May 4, 2010. The provider is doing business as St John Medical Center - Peacehealth Medical Group Castle Rock.

Where is Peacehealth located?

Peacehealth is located at 139 1st Ave SW, Castle Rock, WA 98611. The listed phone number is (360) 274-2353.

What is Peacehealth's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Peacehealth was last updated on July 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.