ST. JOHN MEDICAL CENTER - PEACEHEALTH MEDICAL GROUP
NPI 1720056187
Clinic/Center - Multi-Specialty in Longview, WA

Q: What is Peacehealth's NPI number?

The NPI number for Peacehealth is 1720056187. It was assigned to this organization in the NPPES registry on March 10, 2006. The provider is doing business as St. John Medical Center - Peacehealth Medical Group.

Q: What is Peacehealth's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Q: When was this NPI record last updated?

The NPPES record for Peacehealth was last updated on July 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 10, 2006

1615 DELAWARE ST, LONGVIEW, WA 98632(360) 414-2000(360) 414-2054 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St. John Medical Center - Peacehealth Medical Group NPPES

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

ST. JOHN MEDICAL CENTER - PEACEHEALTH MEDICAL GROUP (NPI 1720056187) is a healthcare organization registered as a multi-specialty in Longview, Washington and active in the NPI registry since March 2006. The organization lists Thomas Haywood, Regional Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1720056187

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePEACEHEALTH

Location Address1615 DELAWARE STLongview, WA 98632-2367

Mailing AddressPo Box 3002Longview, WA 98632-0302 · (360) 414-2000 · Fax (360) 414-2054

Phone(360) 414-2000

Fax(360) 414-2054

Organization SubpartNo

Authorized OfficialThomas HaywoodRegional Vp/cfo · (360) 414-5797

Enumeration DateMarch 10, 2006

Last NPPES UpdateJuly 29, 2011

✔ NPI 1720056187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedNeuromusculoskeletal Medicine, Sports MedicineTaxonomy 204C00000X

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X

Also ListedGeneral PracticeTaxonomy 208D00000X

1615 DELAWARE ST, Longview, WA 98632

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Other Names 1

Doing Business AsSt. John Medical Center - Peacehealth Medical Group

Other Identifiers 1

Medicare PING000747600WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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.

CHOONG R KIM M.D.

Radiology (Radiation Oncology)