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: November 01, 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
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

Other Names 1

Doing Business AsPeace Harbor Medical Center

Other Identifiers 2

Medicaid055322OR
Medicare PINR0000ZGBHFOR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peace Harbor Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

174

Medicare enrollment records show 174 clinicians reassign Medicare billing to Peace Harbor Medical Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 25

Emergency Medicine48
Nurse Practitioner24
Psychiatry17
Family Practice14
Internal Medicine9
Obstetrics/Gynecology9
Certified Registered Nurse Anesthetist (CRNA)8
Pediatric Medicine7
17 other specialties38

Nearest to this location (20)

See all 174
Nurse Practitioner
NPI 1023633831
380 9TH ST
Florence, OR 97439
(541) 997-8412
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1528728169
380 9TH ST
Florence, OR 97439
(541) 902-6059
Same address
Clinical Social Worker
NPI 1184146417
380 9TH ST
Florence, OR 97439
(541) 997-7134
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1346532108
380 9TH ST
Florence, OR 97439
(541) 997-7134
✔ PECOSSame address
Nurse Practitioner
NPI 1801865738
340 9TH ST
Florence, OR 97439
(541) 293-5149
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1003071580
330 9TH ST
Florence, OR 97439
(541) 997-2820
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1649208422
330 9TH ST
Florence, OR 97439
(541) 997-2820
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1336292549
400 9TH ST
Florence, OR 97439
(541) 997-8412
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1184203283
400 9TH ST
Florence, OR 97439
(541) 902-6801
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1790138261
400 9TH ST
Florence, OR 97439
(541) 997-8412
✔ PECOS0.1 mi
Internal Medicine
NPI 1144551128
400 9TH ST
Florence, OR 97439
(541) 902-6131
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1225048325
400 9TH ST
Florence, OR 97439
(541) 997-8412
✔ PECOS0.1 mi
Psychiatry
NPI 1326443417
400 9TH ST
Florence, OR 97439
(458) 205-6555
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1801529888
400 9TH ST
Florence, OR 97439
(541) 997-8412
✔ PECOS0.1 mi
Emergency Medicine
NPI 1538695788
400 9TH ST
Florence, OR 97439
(541) 902-6700
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1992753297
390 9TH ST
Florence, OR 97439
(541) 997-7134
✔ PECOS0.1 mi
Family Practice
NPI 1073690434
390 9TH ST
Florence, OR 97439
(541) 997-7134
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1497798367
530 9TH ST
Florence, OR 97439
(541) 997-7104
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1164581161
530 9TH STREET ORTHOPEDICS
Florence, OR 97439
(541) 997-7104
✔ PECOS0.1 mi
Podiatry
NPI 1598290900
530 9TH ST
Florence, OR 97439
(541) 997-7104
✔ PECOS0.1 mi
See all 174 clinicians

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 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 · Florence, OR
Active · expires Jan 9, 2027
CLIA Number38D0903690
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorJamie Fair
Laboratory Phone(541) 902-6140
Laboratory LocationPeacehealth Medical Group380 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.

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.

Is Peacehealth enrolled in Medicare?

Yes. Peacehealth is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peacehealth?

According to the CMS Revalidation Reassignment List (October 2026 release), 174 clinicians in 25 Medicare specialties reassign 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. The largest specialties are Emergency Medicine (48), Nurse Practitioner (24) and Psychiatry (17). Of these, 4 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.