PEACEHEALTH

LONGVIEW, WA
NPI1720056187
Doing Business AsST. JOHN MEDICAL CENTER - PEACEHEALTH MEDICAL GROUP
Entity TypeOrganization
Authorized ContactTHOMAS HAYWOOD
Regional VP/CFO
360-414-5797
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Additional Taxonomies208D00000X General Practice
133V00000X Dietitian, Registered
204C00000X Neuromusculoskeletal Medicine, Sports Medicine
207L00000X Anesthesiology
207LP2900X Anesthesiology, Pain Medicine
207Q00000X Family Medicine
207R00000X Internal Medicine
207RC0000X Internal Medicine, Cardiovascular Disease
207RC0200X Internal Medicine, Critical Care Medicine
207RG0100X Internal Medicine, Gastroenterology
207RH0003X Internal Medicine, Hematology & Oncology
207RR0500X Internal Medicine, Rheumatology
207RN0300X Internal Medicine, Nephrology
207RX0202X Internal Medicine, Medical Oncology
Enumeration Date2006-03-10
Last Update Date2011-07-29
Business Address
PEACEHEALTH
1615 DELAWARE ST
LONGVIEW, WA 98632-2367
Phone number: 360-414-2000
Mailing Address
PEACEHEALTH
PO BOX 3002
LONGVIEW, WA 98632-0302
Phone number: 360-414-2000