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PEACE HARBOR MEDICAL CENTER
NPI 1982774378
Clinic/Center - Multi-Specialty in Florence, OR

Active since November 09, 2006CLIA Certified · 2 labs
380 9TH ST, FLORENCE, OR 97439(541) 997-7134(541) 902-7533 Get Directions Write a Review

NPPES record last updated: April 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peace Harbor Medical Center NPPES

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

PEACE HARBOR MEDICAL CENTER (NPI 1982774378) is a healthcare organization registered as a multi-specialty in Florence, Oregon and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Richard L Yecny, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982774378
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePEACEHEALTH
Location Address380 9TH STFlorence, OR 97439-9470
Mailing AddressPo Box 24410Eugene, OR 97402-0451 · (541) 902-6140 · Fax (541) 902-7533
Phone(541) 997-7134
Fax(541) 902-7533
Organization SubpartNo
Authorized OfficialRichard L YecnyCeo · (541) 902-6540
Enumeration DateNovember 9, 2006
Last NPPES UpdateApril 8, 2013
✔ NPI 1982774378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in OR · 140711
380 9TH ST, Florence, OR 97439
Open in Google Maps ↗

Other Names 1

Doing Business AsPeace Harbor Medical Center

Other Identifiers 2

Medicaid055322OR
Medicare PINR0000ZGBHFOR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 38D0903690

Peacehealth Medical Group - 390 · Florence, OR
Active · expires Jan 9, 2027
CLIA Number38D0903690
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorMatthew Bzdega
Laboratory Phone(541) 902-6140
Laboratory LocationPeacehealth Medical Group - 390380 9th Street, Florence, OR 97439
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 38D0627130

Peace Harbor Medical Center Laboratory · Florence, OR
Active · expires Dec 31, 2027
CLIA Number38D0627130
Laboratory TypeHospital
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Lyle C. Lawnicki
Laboratory Phone(541) 902-6079
Laboratory LocationPeace Harbor Medical Center Laboratory396 9th St, Florence, OR 97439
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

DR. AARON KARL HOLMES MD
Family Medicine
380 9TH ST
FLORENCE, OR 97439
Lane County (541) 997-7134
DR. CORY JAMES GIBBENS AGPCNP-BC
Nurse Practitioner (Primary Care)
380 9TH ST
FLORENCE, OR 97439
Lane County (541) 997-8412
CAMERON E MCCOIN M.D.
Family Medicine
380 9TH ST
FLORENCE, OR 97439
Lane County (541) 997-7134
MRS. SANDRA JEAN JONES FNP-BC
Nurse Practitioner (Family)
380 9TH ST
FLORENCE, OR 97439
Lane County (541) 997-7134
ALLISON RENEE MELLO LCSW
Social Worker (Clinical)
380 9TH ST
FLORENCE, OR 97439
Lane County (541) 997-7134
JOAN M TABER RD
Dietitian, Registered
380 9TH ST
FLORENCE, OR 97439
Lane County (541) 997-7134
BETH E. ERICKSON LCSW
Social Worker (Clinical)
380 9TH ST
FLORENCE, OR 97439
Lane County (541) 997-7134
MELISSA MOFFETT PA
Physician Assistant
380 9TH ST
FLORENCE, OR 97439
Lane County (541) 997-7134

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 1982774378. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Peace Harbor Medical Center.

Where is Peacehealth located?

Peacehealth is located at 380 9th St, Florence, OR 97439. The listed phone number is (541) 997-7134.

What is Peacehealth's specialty?

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

Does Peacehealth hold CLIA laboratory certificates?

Yes. 2 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.

What insurance does Peacehealth accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon 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 April 8, 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.