PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY – NPI #1407283179
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY is a provider located in SEDRO-WOOLLEY, WA. NPPES has assigned the NPI number 1407283179 to PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY on September 26, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Aug 21, 2018. 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 PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY below.

NPI Profile for
PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY

NPI Number
1407283179
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY
Doing Business As (dba): PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY
Primary location
1990 HOSPITAL DR
SEDRO-WOOLLEY, WA 98284
Phone: (360) 856-8810 Fax: (360) 714-2520
Mailing address
1115 SE 164TH AVE DEPT 358
VANCOUVER, WA 98683-8004
Phone: (360) 729-1411 Fax: (360) 501-7535
Organization Subpart
No
Authorized Official
KIMBERLY HODGKINSON
EVP CFO
Phone: (360) 729-1145
Updated
Identifiers

Identifiers for PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY

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.

DescriptionIssuerStateIdentifier
MEDICAIDWA2036892
Taxonomy Code(s)

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
207Q00000X
- Family Medicine (Primary)

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.