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ST JOHN MEDICAL CENTER - INTERNAL MEDICINE
NPI 1821267907
Durable Medical Equipment & Medical Supplies in Longview, WA

Active since February 22, 2008
748 14TH AVE, LONGVIEW, WA 98632(360) 501-3601(360) 501-3648 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St John Medical Center - Internal Medicine NPPES

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

ST JOHN MEDICAL CENTER - INTERNAL MEDICINE (NPI 1821267907) is a healthcare organization registered as a durable medical equipment & medical supplies in Longview, Washington and active in the NPI registry since February 2008. The organization lists Thomas Haywood, Regional Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1821267907
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePEACEHEALTH
Location Address748 14TH AVELongview, WA 98632-2315
Mailing AddressPo Box 249Longview, WA 98632-7154 · (360) 414-2092 · Fax (360) 575-3367
Phone(360) 501-3601
Fax(360) 501-3648
Organization SubpartNo
Authorized OfficialThomas HaywoodRegional Vp/cfo · (360) 414-5797
Enumeration DateFebruary 22, 2008
Last NPPES UpdateJuly 29, 2011
✔ NPI 1821267907 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.
748 14TH AVE, Longview, WA 98632
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Other Names 1

Doing Business AsSt John Medical Center - Internal Medicine

Other Identifiers 1

Medicare NSC0466190004WA

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.

MARENA BERISHEV
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
RACHEL A GAINES SUDP
Counselor (Addiction (Substance Use Disorder))
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
CASSIDY JOHNSTON
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
MISTY DAWN REED AAC, CPC
Peer Specialist
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
KAYLEE MOE CPC
Peer Specialist
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
MS. KIMBERLEE MARIE SEALS SUDPT, AAC
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
AMANDA M KERSTETER MC, LMHC, MHP, CMHS
Counselor (Mental Health)
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
BALENDA J FRIEZE
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419

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 1821267907. It was assigned to this organization in the NPPES registry on February 22, 2008. The provider is doing business as St John Medical Center - Internal Medicine.

Where is Peacehealth located?

Peacehealth is located at 748 14th Ave, Longview, WA 98632. The listed phone number is (360) 501-3601.

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 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.