Peacehealth
NPI 1720056187 · Multi-Specialty Clinic/Center · Longview, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peacehealth is a Multi-Specialty Clinic/Center organization in Longview, WA (NPI 1720056187).
Provider details
- NPI number
- 1720056187
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Haywood, Regional Vp/Cfo(360) 414-5797
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- St. John Medical Center - Peacehealth Medical Group
Registry dates
- Enumerated
- 2006-03-10
- Last updated
- 2011-07-29
Frequently asked questions
- What is Peacehealth's NPI number?
- Peacehealth's National Provider Identifier (NPI) is 1720056187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peacehealth?
- Peacehealth is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Peacehealth located?
- Peacehealth's practice location on file with NPPES is 1615 Delaware St, Longview, WA 98632-2367.
- What is Peacehealth's phone number?
- The practice phone number listed in the NPPES registry for Peacehealth is (360) 414-2000.
- Does Peacehealth accept Medicare?
- Peacehealth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peacehealth?
- The authorized official listed on Peacehealth's NPPES record is Thomas Haywood, Regional Vp/Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peacehealth's NPI active?
- Yes — Peacehealth's NPI (1720056187) is active in the NPPES registry as of the last update on 2011-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.