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ST. JOHN MEDICAL CENTER
NPI 1508958331
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Longview, WA

Active since September 29, 2006
600 BROADWAY ST, LONGVIEW, WA 98632(360) 414-2000 Get Directions Write a Review

NPPES record last updated: July 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. John Medical Center NPPES

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

ST. JOHN MEDICAL CENTER (NPI 1508958331) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Longview, Washington and active in the NPI registry since September 2006. The organization lists Thomas Haywood, Network Cfo, as its authorized official.

NPPES Registry Identity

NPI1508958331
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePEACEHEALTH
Location Address600 BROADWAY STLongview, WA 98632-3256
Mailing Address1115 Se 164th Ave, Dept 364Vancouver, WA 98683-9324 · (360) 414-2000
Phone(360) 414-2000
Organization SubpartNo
Authorized OfficialThomas HaywoodNetwork Cfo · (360) 414-2173
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJuly 12, 2013
✔ NPI 1508958331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in WA · H-026
600 BROADWAY ST, Longview, WA 98632
Open in Google Maps ↗

Other Names 1

Doing Business AsSt. John Medical Center

Other Identifiers 4

OtherH-026WA · Doh License #
Other600521489WA · Ubi
Medicaid3304508WA
Medicare PIN502308WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

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.

RAMONA K SHERMAN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 636-4836
JENNIFER ABIDEMI URUNE FNP
Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2236
MARGARET D NORMAN BS, MS
Dietitian, Registered
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 636-4943
GAYLE M TATE-CASSON LICSW
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2222
ALICIA D SUSILLA BS
Dietitian, Registered
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2200
JOANNE E KOOISTRA
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2236
ROBERT C AXELROD MD
Psychiatry & Neurology (Psychiatry)
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2236
DR. YEHONATAN SHILO M.D.
Psychiatry & Neurology (Psychiatry)
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2236

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 1508958331. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider is doing business as St. John Medical Center.

Where is Peacehealth located?

Peacehealth is located at 600 Broadway St, Longview, WA 98632. The listed phone number is (360) 414-2000.

What is Peacehealth's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

What insurance does Peacehealth accept?

Health plans from PacificSource Health Plans 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 July 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.