| NPI | 1215210133 |
|---|---|
| Doing Business As | ST JOHN MEDICAL CENTER - PEACEHEALTH MEDICAL GROUP LAKEFRONT |
| Entity Type | Organization |
| Authorized Contact | THOMAS HAYWOOD Regional CFO 360-414-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |