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PEACEHEALTH MEDICAL GROUP
NPI 1508328840
Durable Medical Equipment & Medical Supplies in Eugene, OR

Active since April 04, 2019CLIA 38D0683481 · Waiver
2484 RIVER RD, EUGENE, OR 97404(541) 222-7615(541) 222-7676 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peacehealth Medical Group NPPES

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

PEACEHEALTH MEDICAL GROUP (NPI 1508328840), doing business as Peacehealth Medical Group Santa Clara, is a healthcare organization registered as a durable medical equipment & medical supplies in Eugene, Oregon and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Michael Charles Metcalf, Chief Executive Phmg, as its authorized official.

NPPES Registry Identity

NPI1508328840
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePEACEHEALTH MEDICAL GROUP
Location Address2484 RIVER RDEugene, OR 97404-2042
Mailing Address1115 Se 164th Ave Dept 358Vancouver, WA 98683-8004 · (360) 729-1462 · Fax (360) 729-3104
Phone(541) 222-7615
Fax(541) 222-7676
Organization SubpartYes
Authorized OfficialMichael Charles MetcalfChief Executive Phmg · (360) 729-1743
Enumeration DateApril 4, 2019
✔ NPI 1508328840 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.
2484 RIVER RD, Eugene, OR 97404
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Other Names 1

Doing Business AsPeacehealth Medical Group Santa Clara

CLIA Laboratory Certificates CMS CLIA

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 38D0683481

Peacehealth Medical Group-Santa Clara · Eugene, OR
Active · expires Jun 9, 2028
CLIA Number38D0683481
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorMailynn Mitchell-Sanchez
Laboratory Phone(541) 222-7609
Laboratory LocationPeacehealth Medical Group-Santa Clara2484 River Road, Eugene, OR 97404
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

SANDRA WILMOT FNP-C
Nurse Practitioner (Family)
2484 RIVER RD
EUGENE, OR 97404
Lane County (541) 222-7650
MR. MICAH LUNDSTEDT
Nurse Practitioner (Family)
2484 RIVER RD, SUITE 230
EUGENE, OR 97404
Lane County (541) 222-7650
DR. ROBERT J BALLMAN M.D.
Internal Medicine
2484 RIVER RD
EUGENE, OR 97404
Lane County (541) 222-7600
JILL CHAPLIN MD
Family Medicine
2484 RIVER RD
EUGENE, OR 97404
Lane County (541) 222-7650
MEGAN BARCKERT
Nurse Practitioner (Family)
2484 RIVER RD
EUGENE, OR 97404
Lane County (541) 222-7650
WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Durable Medical Equipment & Medical Supplies
2484 RIVER RD
EUGENE, OR 97404
Lane County (541) 688-9140
ERIC JAY LESTER PA
Physician Assistant
2484 RIVER RD
EUGENE, OR 97404
Lane County (541) 222-7650
ROBERT ELDER DO
Family Medicine
2484 RIVER RD
EUGENE, OR 97404
Lane County (541) 222-7650

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 Medical Group's NPI number?

The NPI number for Peacehealth Medical Group is 1508328840. It was assigned to this organization in the NPPES registry on April 4, 2019. The provider is doing business as PeaceHealth Medical Group Santa Clara.

Where is Peacehealth Medical Group located?

Peacehealth Medical Group is located at 2484 River Rd, Eugene, OR 97404. The listed phone number is (541) 222-7615.

What is Peacehealth Medical Group's specialty?

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

Does Peacehealth Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0683481) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peacehealth Medical Group was last updated on April 4, 2019. 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.