PEACEHEALTH
NPI 1528544822
Medicare Defined Swing Bed Unit in Ketchikan, AK
About Peacehealth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEACEHEALTH (NPI 1528544822), doing business as Ketchikan Medical Center, is a healthcare organization registered as a medicare defined swing bed unit in Ketchikan, Alaska and active in the NPI registry since July 2018. The organization holds 3 active CLIA laboratory certificates and lists Arthur Craig Springer, Sys Vp Fin Integrity/controller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peacehealth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Peacehealth, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
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 Accreditation 02D0641454
Peacehealth Ketchikan Medical Center Laboratory · Ketchikan, AKCertificate of Waiver 02D1008277
Peacehealth Ketchikan Medical Center Nursing Svc · Ketchikan, AKCertificate of Waiver 50D1017370
Peacehealth Squalicum Surgery Center · Bellingham, WAFrequently 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 1528544822. It was assigned to this organization in the NPPES registry on July 19, 2018. The provider is doing business as Ketchikan Medical Center.
Where is Peacehealth located?
Peacehealth is located at 3100 Tongass Ave, Ketchikan, AK 99901. The listed phone number is (907) 225-5171.
What is Peacehealth's specialty?
The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.
Is Peacehealth enrolled in Medicare?
Yes. Peacehealth is registered in the Medicare PECOS enrollment system.
When is Peacehealth's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Alaska, Critical Access Hospital) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Peacehealth?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Peacehealth. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Peacehealth hold CLIA laboratory certificates?
Yes. 3 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.
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 6 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.
# Peacehealth · NPI 1528544822
Medicare Defined Swing Bed Unit organization in Ketchikan, Alaska. Organization record, active in the CMS NPPES registry since July 19, 2018.
## Identity
- **NPI:** 1528544822 (Entity type: Organization)
- **Enumerated:** July 19, 2018
- **Primary specialty:** Medicare Defined Swing Bed Unit · taxonomy 275N00000X
- **Also known as:** Ketchikan Medical Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Arthur Springer, SYS VP FIN INTEGRITY/CONTROLLER
## Practice location
- **Address:** 3100 TONGASS AVE, Ketchikan, AK 99901-5746
- **Phone:** (907) 225-5171
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, Alaska, Critical Access Hospital) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Emergency Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2026
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528544822) · Data from the CMS NPPES public registry.