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PEACEHEALTH
NPI 1003194911
Internal Medicine - Cardiovascular Disease in Vancouver, WA

Active since July 26, 2011CLIA Certified · 5 labs
200 NE MOTHER JOSEPH PL STE 400, VANCOUVER, WA 98664(360) 256-2640 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2026, Aug 7, 2025 (2 updates tracked since 2025).

About Peacehealth NPPES

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

PEACEHEALTH (NPI 1003194911), doing business as Peacehealth Sw Heart & Vascular Center, is a healthcare organization registered as a cardiovascular disease in Vancouver, Washington and active in the NPI registry since July 2011. The organization holds 5 active CLIA laboratory certificates and lists Arthur Craig Springer, Sys Vp Fin Integrity/controller, as its authorized official.

NPPES Registry Identity

NPI1003194911
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePEACEHEALTH
Location Address200 NE MOTHER JOSEPH PL STE 400Vancouver, WA 98664-3290
Mailing AddressPo Box 1588Vancouver, WA 98668-1588
Phone(360) 256-2640
Organization SubpartYes
Authorized OfficialArthur Craig SpringerSys Vp Fin Integrity/controller · (360) 729-1132
Enumeration DateJuly 26, 2011
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1003194911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
200 NE MOTHER JOSEPH PL STE 400, Vancouver, WA 98664
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Other Names 1

Doing Business AsPeacehealth Sw Heart & Vascular Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0637794

Peacehealth SW Heart & Vascular Center Cardiology · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D0637794
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKaci E. Caldwell
Laboratory Phone(360) 514-4444
Laboratory LocationPeacehealth SW Heart & Vascular Center Cardiology200 NE Mother Joseph Pl, Suite 400, Vancouver, WA 98664
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 50D0684007

Peacehealth Southwest Washington Medical Center · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D0684007
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDr. David M. Tretheway
Laboratory Phone(360) 514-2074
Laboratory LocationPeacehealth Southwest Washington Medical Center400 NE Mother Joseph Pl, Vancouver, WA 98664
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D1099504

Peacehealth Southwest Medical Center Laboratory · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D1099504
Laboratory TypeHospital
Certificate Effective DateDecember 23, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDavid Tretheway
Laboratory Phone(360) 514-1655
Laboratory LocationPeacehealth Southwest Medical Center Laboratory400 NE Mother Joseph Pl, Vancouver, WA 98664
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 50D2279896

Peacehealth Southwest Physical Medicine & Rehab · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2279896
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKatie Trippet
Laboratory Phone(360) 514-3142
Laboratory LocationPeacehealth Southwest Physical Medicine & Rehab200 NE Mother Joseph Pl Ste 100, Vancouver, WA 98664
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2302769

Peacehealth Medical Group - Urology · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2302769
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKatie Trippet
Laboratory Phone(360) 729-8580
Laboratory LocationPeacehealth Medical Group - Urology8614 E Mill Plain Blvd Ste 201, Vancouver, WA 98664
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

DINA MAZUR NURSE PRACTITIONER
Nurse Practitioner (Gerontology)
200 NE MOTHER JOSEPH PL STE 400
VANCOUVER, WA 98664
Clark County (360) 514-4444
NASHWA ABDULSALAM
Internal Medicine (Cardiovascular Disease)
200 NE MOTHER JOSEPH PL STE 400
VANCOUVER, WA 98664
Clark County (360) 514-4444
OLGA VICTOROVNA DEMINA DO
Internal Medicine (Cardiovascular Disease)
200 NE MOTHER JOSEPH PL STE 400
VANCOUVER, WA 98664
Clark County (360) 514-4444
DR. VISHNU PRIYA MALLIPEDDI M.B.B.S
Internal Medicine (Cardiovascular Disease)
200 NE MOTHER JOSEPH PL STE 400
VANCOUVER, WA 98664
Clark County (360) 514-4444
HALEY GLASSY
Physician Assistant
200 NE MOTHER JOSEPH PL STE 400
VANCOUVER, WA 98664
Clark County (360) 514-4444
SHENJING LI MD
Internal Medicine (Interventional Cardiology)
200 NE MOTHER JOSEPH PL STE 400
VANCOUVER, WA 98664
Clark County (360) 514-4444
JOSHUA GRANT D.O.
Internal Medicine (Cardiovascular Disease)
200 NE MOTHER JOSEPH PL STE 400
VANCOUVER, WA 98664
Clark County (360) 514-4444
BING YUE M.D.
Internal Medicine (Cardiovascular Disease)
200 NE MOTHER JOSEPH PL STE 400
VANCOUVER, WA 98664
Clark County (360) 514-4444

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 1003194911. It was assigned to this organization in the NPPES registry on July 26, 2011. The provider is doing business as PeaceHealth SW Heart & Vascular Center.

Where is Peacehealth located?

Peacehealth is located at 200 NE Mother Joseph Pl Ste 400, Vancouver, WA 98664. The listed phone number is (360) 256-2640.

What is Peacehealth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Peacehealth hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Peacehealth accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Peacehealth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peacehealth was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.