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Contact Information

PEACEHEALTH
TRIANGLE MALL SUITE 16 1015 OCEAN BEACH HWY
LONGVIEW, WA98632
 Phone: 360-501-3750
 Fax: 360-501-3751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for PEACEHEALTH

NPI # 1184106437
LBN Legal business name PEACEHEALTH
Authorized official MICHAEL METCALF - (CHIEF EXECUTIVE PHMG)
Entity Organization
Organization subpart 1 No
Enumeration date 09/04/2018
Last updated 09/04/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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