| NPI | 1871810945 |
|---|---|
| Doing Business As | ST JOHN MEDICAL CENTER - PEACEHEALTH MEDICAL GROUP OCEAN BEACH |
| Entity Type | Organization |
| Authorized Contact | TOM HAYWOOD Network CFO 360-414-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2013-09-13 |