PEACEHEALTH (NPI# 1528506961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528506961 |
| Entity Type | Organization |
| Organization Name | PEACEHEALTH |
| Practice Address |
1800 Craig-klawock Hwy Craig AK 99921-0805 |
| Mailing Address |
Po Box 1798 Bellingham WA 98227-1798 |
| Practice Telephone | 9078263257 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | KIMBERLY HODGKINSON (CFO/EVP) |
| Authorized Official Telephone | 3607291102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
GACH-005 | AK | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255977591 | Peacehealth | Durable Medical Equipment & Medical Supplies | 625 9th Ave Ste 120, Longview, WA 98632-2465 | 2019-11-21 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1669766457 | Peacehealth | General Acute Care Hospital | 787 Woodland Acres Ln, Eugene, OR 97402-9378 | 2011-06-09 |
| 1760427082 | Peacehealth | Home Health | 126 Washington St, Ketchikan, AK 99901-5930 | 2006-06-19 |
| 1912957986 | Peacehealth | Clinical Medical Laboratory | 123 International Way, Springfield, OR 97477-1047 | 2006-05-11 |
| 1083672273 | Peacehealth | Rehabilitation Unit | 809 E Chestnut St, Bellingham, WA 98225-5221 | 2006-05-04 |
| 1447217559 | Peacehealth | Hospice, Inpatient | 2800 Douglas Avenue, Bellingham, WA 98225 | 2006-05-01 |
| 1215918719 | Peacehealth | Hospice Care, Community Based | 2230 Kingwood Street, Florence, OR 97439-9470 | 2005-11-10 |
| 1225019011 | Peacehealth | Home Health | 2230 Kingwood St, Florence, OR 97439-9464 | 2005-11-08 |
| 1346237971 | Peacehealth | General Acute Care Hospital | 1255 Hilyard St, Eugene, OR 97401-3718 | 2005-09-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PEACEHEALTH | 1115 Se 164th Avenue, Vancouver, WA 98683-9324 |
| Washington State Corporations | PEACEHEALTH | 1115 Se 164th Ave Dept. 302, Vancouver, WA 98683 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH | 1115 Se 164th Ave Dept 302, Vancouver, WA 98683 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH - COTTAGE GROVE | 1515 Village Dr, Cottage Grove, OR 97424 |
| Washington State Corporations | PEACEHEALTH ASC BELLINGHAM, LLC | 1115 Se 164th Ave, Dept 302, Vancouver, WA 98683-9324 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER | 1515 Village Dr, Cottage Grove, OR 97424 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER FOUNDATION | 1515 Village Dr, Cottage Grove, OR 97424 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER SWING | 1515 Village Drive, Cottage Grove, OR 97424 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH HOSPITAL MEDICINE | 3333 Riverbend Dr, Springfield, OR 97477 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH LABORATORIES | 123 International Way, Springfield, OR 97477 |
| Street Address |
1800 CRAIG-KLAWOCK HWY |
| City | CRAIG |
| State | AK |
| Zip Code | 99921-0805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225211394 | Community Connections | Day Training, Developmentally Disabled Services | 1800 Craig-klawock Hwy, Suite 241, Craig, AK 99921-0064 | 2007-12-12 |
| 1033718606 | Community Connections | Community/Behavioral Health | 1800 Craig-klawock Hwy, Suite 241, Craig, AK 99921-0420 | 2020-10-23 |
| 1215110382 | Community Connections | Home Health | 1800 Craig-klawock Hwy, Suite 241, Craig, AK 99921-0064 | 2007-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801426515 | Leigh Ann White | Social Worker | 1 800 C-k Hwy, Suite #241, Craig, AK 99921 | 2020-01-22 |
| 1154887602 | Gayle Virginia Townsend | Counselor | 333 Cold Storage Dr., Craig, AK 99921 | 2019-02-20 |
| 1811366503 | Barbara Skan | Counselor | 1305 Craig Klawock Hwy, Craig, AK 99921 | 2015-09-23 |
| 1265821359 | Southeast Alaska Regional Health Consortium | Clinic/Center | 1305 Craig-klawock Hwy, Craig, AK 99921 | 2015-01-13 |
| 1629418272 | Scott Brookshire | Dentist | 407 Spruce St., Craig, AK 99921 | 2013-06-27 |
| 1588931877 | Jeffries George Nickerson | Emergency Medical Technician, Intermediate | 7300 Klawock-hollis, Klawock, AK 99921 | 2011-11-30 |
| 1578794863 | City of Craig, Inc. | Family Medicine | 506 3rd St., Craig, AK 99921 | 2009-08-04 |
| 1871732677 | Julie Lynch Mcdonald | Pharmacist | 333 Cold Storage Road, Craig, AK 99921 | 2009-02-18 |
| 1861686966 | Michael Alexander Melendrez Sr. | Chiropractor | 1908 Hamilton Dr, Craig, AK 99921 | 2007-08-31 |
| 1538388905 | Beverlee Joesten-tyner | Case Manager/Care Coordinator | 1 Easy St., Craig, AK 99921 | 2007-04-24 |
| Find all providers in zip 99921 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306284781 | Spirit Sent Health Care Services, Inc | Clinic/Center | 3819 Coumbine Circle, Dillingham, AK 99576-0577 | 2013-06-07 |
| 1346571403 | Eastern Aleutian Tribes, Inc | Clinic/Center | 65 Airport Rd, Cold Bay, AK 99571-0065 | 2010-01-28 |
| 1477726644 | Guardian Flight Inc | Clinic/Center | Mile 238.8 Parks Highway, Denali, AK 99755 | 2008-04-09 |
| 1639249683 | Hoonah Medical Center | Clinic/Center | 568 Ravin Drive, Hoonah, AK 99829-0602 | 2006-11-08 |
| 1538772173 | Eagle Health Alaska | Clinic/Center | 2015 Merrill Field Dr, Anchorage, AK 99501-4137 | 2020-08-24 |
| 1467801753 | Kodiak Area Native Association | Clinic/Center | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2016-06-07 |
| 1427236793 | Chief Andrew Issac Health Center | Clinic/Center | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2008-02-08 |
| 1982808978 | Maniilaq Association | Clinic/Center | 436 5th & Ted Stevens Way, Kotzebue, AK 99752 | 2007-06-13 |
Please comment or provide details below to improve the information on PEACEHEALTH.
| 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.