ST. JOHN MEDICAL CENTER – NPI #1508958331
Clinic/Center
ST. JOHN MEDICAL CENTER is an AHC clinic located in LONGVIEW, WA. NPPES has assigned the NPI number 1508958331 to ST. JOHN MEDICAL CENTER on September 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST. JOHN MEDICAL CENTER” is a dba name, the actual legal business name for this organization is PEACEHEALTH. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment
The NPI profile was previously updated about 13 years ago on Jul 12, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. JOHN MEDICAL CENTER below.
NPI Profile for
PEACEHEALTH
(more than 19 years ago)
LONGVIEW, WA 98632-3256 Phone: (360) 414-2000 Fax:
DEPT 364
VANCOUVER, WA 98683-9324 Phone: (360) 414-2000 Fax:
NETWORK CFO
Phone: (360) 414-2173
Identifiers for ST. JOHN MEDICAL CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | DOH LICENSE # | WA | H-026 |
| OTHER | UBI | WA | 600521489 |
| MEDICAID | WA | 3304508 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QE0700X - Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary) |
WA | H-026 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.