| NPI | 1801909171 |
|---|---|
| Doing Business As | ST JOHN MEDICAL CENTER - PEACEHEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | THOMAS HAYWOOD Regional VP/CFO 360-414-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WA H-026) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2013-10-24 |