ST. JOHN MEDICAL CENTER-PEACEHEALTH THERAPY AND WELLNESS
NPI 1184106437
Prosthetic/Orthotic Supplier in Longview, WA

Q: What is Peacehealth's NPI number?

The NPI number for Peacehealth is 1184106437. It was assigned to this organization in the NPPES registry on September 4, 2018. The provider is doing business as St. John Medical Center-Peacehealth Therapy And Wellness.

Q: What is Peacehealth's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Q: When was this NPI record last updated?

The NPPES record for Peacehealth was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 04, 2018

TRIANGLE MALL SUITE 16 1015 OCEAN BEACH HWY, LONGVIEW, WA 98632(360) 501-3750(360) 501-3751 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About St. John Medical Center-peacehealth Therapy And Wellness NPPES

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

ST. JOHN MEDICAL CENTER-PEACEHEALTH THERAPY AND WELLNESS (NPI 1184106437) is a healthcare organization registered as a prosthetic/orthotic supplier in Longview, Washington and active in the NPI registry since September 2018. The organization lists Michael Charles Metcalf, Chief Executive Phmg, as its authorized official.

NPPES Registry Identity

NPI1184106437

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NamePEACEHEALTH

Location AddressTRIANGLE MALL SUITE 16 1015 OCEAN BEACH HWYLongview, WA 98632

Mailing Address1115 Se 164th Ave Dept 358Vancouver, WA 98683-8004 · (360) 729-1462 · Fax (360) 729-3104

Phone(360) 501-3750

Fax(360) 501-3751

Organization SubpartNo

Authorized OfficialMichael Charles MetcalfChief Executive Phmg · (360) 729-1743

Enumeration DateSeptember 4, 2018

✔ NPI 1184106437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

TRIANGLE MALL SUITE 16 1015 OCEAN BEACH HWY, Longview, WA 98632

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Other Names 1

Doing Business AsSt. John Medical Center-peacehealth Therapy And Wellness

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 1184106437. It was assigned to this organization in the NPPES registry on September 4, 2018. The provider is doing business as St. John Medical Center-Peacehealth Therapy And Wellness.

Where is Peacehealth located?

Peacehealth is located at Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632. The listed phone number is (360) 501-3750.

What is Peacehealth's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Peacehealth was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.