St. John Medical Center

LBN: Peacehealth
St. John Medical Center is an health care organization with primary practice located at 1615 Delaware St , Longview WA 98632-2310. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Rehabilitation, Substance Use Disorder Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Peacehealth can be contacted via phone (360) 414-2000, or through Seirer, Jeffrey via phone (360) 729-1132.

Contact Information

Primary practice address
1615 Delaware St Longview WA 98632-2310
Phone: (360) 414-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Seirer, Jeffrey
Phone: (360) 729-1132

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X H-026 Washington
Hospitals / General Acute Care Hospital 282N00000X H-026 Washington

Profile Details

NPI number 1073510277
LBN Legal business name Peacehealth
DBA Doing business as St. John Medical Center
Authorized official Seirer, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Dec 6th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073510277 NPPES
Other 600 521 489 UBI NUMBER
MEDICAID 3304508 UBI NUMBER

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