PEACEHEALTH MEDICAL GROUP (NPI# 1508328840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508328840 |
| Entity Type | Organization |
| Organization Name | PEACEHEALTH MEDICAL GROUP |
| Practice Address |
2484 River Rd Eugene OR 97404-2042 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 5412227615 |
| Practice Fax Number | 5412227676 |
| Mailing Telephone | 3607291462 |
| Mailing Fax Number | 3607293104 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | MICHAEL CHARLES METCALF (CHIEF EXECUTIVE PHMG) |
| Authorized Official Telephone | 3607291743 |
| Is Organization Subpart | Y |
| Parent Organization Name | PEACEHEALTH MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| PeaceHealth Medical Group Santa Clara | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912013590 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 430 W 7th Ave, Junction City, OR 97448-1619 | 2006-08-23 |
| 1386751758 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 1200 Hilyard St Ste 200, Eugene, OR 97401-8146 | 2006-08-23 |
| 1356806202 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 2846 Willamette St, Eugene, OR 97405-8200 | 2019-02-05 |
| 1134658479 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 1400 Valley River Dr Ste 110, Eugene, OR 97401-6758 | 2017-06-09 |
| 1821488891 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 860 Beltline Rd, Springfield, OR 97477-1091 | 2015-01-29 |
| 1447554746 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 3321 W 11th Ave, Eugene, OR 97402-3040 | 2010-12-29 |
| 1528218005 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 3377 Riverbend Dr, Springfield, OR 97477 | 2008-09-22 |
| 1881860856 | Peacehealth Medical Group | Clinic/Center | 353 Deadmond Ferry Rd, Springfield, OR 97477-9406 | 2008-04-30 |
| 1386814333 | Peacehealth Medical Group | Eyewear Supplier (Equipment, not the service) | 1162 Willamette St, Eugene, OR 97401-3568 | 2008-03-06 |
| 1427123579 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 3299 Hilyard St, Eugene, OR 97405-3721 | 2006-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP | 1200 Hilyard St, Eugene, OR 97401 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP - COTTAGE GROVE | 1515 Village Dr, Cottage Grove, OR 97424 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP - CRESWELL | 98 W Oregon Ave, Creswell, OR 97426 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP - DEXTER | 38843 Dexter Rd, Dexter, OR 97431 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP - SOUTH | 3299 Hilyard St, Eugene, OR 97405 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP-SIUSLAW | 380 Ninth St, Florence, OR 97439 |
| Street Address |
2484 RIVER RD |
| City | EUGENE |
| State | OR |
| Zip Code | 97404-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982676730 | Katherine L Beckstrand | Family Medicine | 2484 River Rd, Eugene, OR 97404-2042 | 2006-02-06 |
| 1598207409 | Gretta Freyermuth | Physician Assistant | 2484 River Rd, Eugene, OR 97404 | 2016-11-09 |
| 1124428032 | Micah Lundstedt | Nurse Practitioner | 2484 River Rd, Suite 230, Eugene, OR 97404-2042 | 2014-08-27 |
| 1043635519 | Sandra Wilmot | Nurse Practitioner | 2484 River Rd, Eugene, OR 97404-2042 | 2014-02-20 |
| 1700220811 | Julien Succar | Preventive Medicine | 2484 River Rd, Eugene, OR 97404 | 2013-04-18 |
| 1639457583 | Myung Sun Kim | Internal Medicine | 2484 River Rd, Eugene, OR 97404-2042 | 2011-07-26 |
| 1235441791 | Jose Leonardo Rosales Sioco IIi | Family Medicine | 2484 River Rd, Eugene, OR 97404-2042 | 2010-07-12 |
| 1184882953 | Mariquita Tolentino Belen | Family Medicine | 2484 River Rd, Eugene, OR 97404-2042 | 2008-05-29 |
| 1649455445 | Willamette Community Medical Group LLC | Durable Medical Equipment & Medical Supplies | 2484 River Rd, Eugene, OR 97404-2042 | 2007-12-31 |
| 1649348160 | Megan Barckert | Nurse Practitioner | 2484 River Rd, Eugene, OR 97404-2042 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
| Find all providers in zip 97404 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578038931 | Denture Masters of Eugene | Durable Medical Equipment & Medical Supplies | 1925 Bailey Hill Rd Ste A, Eugene, OR 97405-1142 | 2018-10-11 |
| 1326525601 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2145 Centennial Plz Ste P1, Eugene, OR 97401-2421 | 2018-07-19 |
| 1497252431 | American Scale Company | Durable Medical Equipment & Medical Supplies | 3125 Cross St, Eugene, OR 97402-6547 | 2018-04-06 |
| 1184027526 | Alaska Medical Recovery Services | Durable Medical Equipment & Medical Supplies | 2683 Jeppesen Acres Rd, Eugene, OR 97401-4914 | 2014-09-30 |
| 1275940553 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 87 Centennial Loop, Eugene, OR 97401-7907 | 2014-07-17 |
| 1396155776 | American Medical Collections LLC | Durable Medical Equipment & Medical Supplies | 1710 Willow Creek Cir # 1, Eugene, OR 97402-9192 | 2014-05-06 |
| 1639436447 | Allegiance Medical, LLC | Durable Medical Equipment & Medical Supplies | 3035 Skyview Ln, Eugene, OR 97405-6247 | 2012-04-18 |
| 1245569177 | Hh & H Investments Corp. | Durable Medical Equipment & Medical Supplies | 2699 Roosevelt Blvd, Eugene, OR 97402-6024 | 2009-12-24 |
| 1588897060 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2788 River Rd, Eugene, OR 97404-2048 | 2009-08-31 |
| 1467635193 | Cascade Surgiccal Oncology, PC | Durable Medical Equipment & Medical Supplies | 1200 Hilyard St Ste S550, Eugene, OR 97401-8152 | 2007-12-17 |
| Find all providers in EUGENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.