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ST. JOHN MEDICAL CENTER
NPI 1639285539
Durable Medical Equipment & Medical Supplies in Longview, WA

Active since August 22, 2006
600 BROADWAY ST, LONGVIEW, WA 98632(360) 414-2000 Get Directions Write a Review

NPPES record last updated: February 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 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 1639285539) is a healthcare organization registered as a durable medical equipment & medical supplies in Longview, Washington and active in the NPI registry since August 2006. The organization lists Thomas Haywood, Regional Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1639285539
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePEACEHEALTH
Location Address600 BROADWAY STLongview, WA 98632-3256
Mailing AddressPo Box 929Longview, WA 98632-7583 · (360) 414-2000
Phone(360) 414-2000
Organization SubpartNo
Authorized OfficialThomas HaywoodRegional Vp/cfo · (360) 414-5797
Enumeration DateAugust 22, 2006
Last NPPES UpdateFebruary 4, 2010
✔ NPI 1639285539 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.
600 BROADWAY ST, Longview, WA 98632
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Other Names 1

Doing Business AsSt. John Medical Center

Other Identifiers 1

Medicare NSC0466190001WA

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 1639285539. It was assigned to this organization in the NPPES registry on August 22, 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 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 February 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.