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ST JOHN MEDICAL CENTER - PEACEHEALTH MEDICAL GROUP LAKEFRONT
NPI 1215210133
Durable Medical Equipment & Medical Supplies in Longview, WA

Active since September 27, 2011
1718 E KESSLER BLVD, LONGVIEW, WA 98632(360) 747-5800(360) 575-3846 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St John Medical Center - Peacehealth Medical Group Lakefront NPPES

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

ST JOHN MEDICAL CENTER - PEACEHEALTH MEDICAL GROUP LAKEFRONT (NPI 1215210133) is a healthcare organization registered as a durable medical equipment & medical supplies in Longview, Washington and active in the NPI registry since September 2011. The organization lists Thomas Haywood, Regional Cfo, as its authorized official.

NPPES Registry Identity

NPI1215210133
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePEACEHEALTH
Location Address1718 E KESSLER BLVDLongview, WA 98632-1842
Mailing AddressPo Box 3002Longview, WA 98632-0302 · (360) 414-2000 · Fax (360) 414-2054
Phone(360) 747-5800
Fax(360) 575-3846
Organization SubpartNo
Authorized OfficialThomas HaywoodRegional Cfo · (360) 414-2000
Enumeration DateSeptember 27, 2011
✔ NPI 1215210133 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.
1718 E KESSLER BLVD, Longview, WA 98632
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Other Names 1

Doing Business AsSt John Medical Center - Peacehealth Medical Group Lakefront

Other Providers at the Same Location NPPES 20

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

KIM WARREN STONEKING MD
Family Medicine
1718 E KESSLER BLVD
LONGVIEW, WA 98632
Cowlitz County (360) 747-5800
MU-HSIANG JOY WANG MD
Family Medicine
1718 E KESSLER BLVD
LONGVIEW, WA 98632
Cowlitz County (360) 747-5800
MELISSA RAE BETTES ARNP
Nurse Practitioner
1718 E KESSLER BLVD
LONGVIEW, WA 98632
Cowlitz County (360) 747-5800
DR. REYNOLD G ORCHARD MD
Family Medicine
1718 E KESSLER BLVD
LONGVIEW, WA 98632
Cowlitz County (360) 747-5800
ADAM RYAN WEEKS ARNP, FNP-BC
Nurse Practitioner (Family)
1718 E KESSLER BLVD
LONGVIEW, WA 98632
Cowlitz County (360) 747-5800
JAMES SCOTT DO
Family Medicine
1718 E KESSLER BLVD
LONGVIEW, WA 98632
Cowlitz County (360) 747-5800
TIMOTHY A RANDALL MD
Family Medicine
1718 E KESSLER BLVD
LONGVIEW, WA 98632
Cowlitz County (360) 747-5800
DR. ABHIJEET S JOSHI M.D.
Family Medicine
1718 E KESSLER BLVD
LONGVIEW, WA 98632
Cowlitz County (360) 747-5800

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 1215210133. It was assigned to this organization in the NPPES registry on September 27, 2011. The provider is doing business as St John Medical Center - Peacehealth Medical Group Lakefront.

Where is Peacehealth located?

Peacehealth is located at 1718 E Kessler Blvd, Longview, WA 98632. The listed phone number is (360) 747-5800.

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 September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.