# PEACEHEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEACEHEALTH
- **Other names:** COTTAGE GROVE COMMUNITY MEDICAL CT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609142595
- **Legal business name:** PEACEHEALTH
- **Authorized official:** ARTHUR CRAIG SPRINGER II (SYS VP FIN INTEGRITY/CONTROLLER)
- **Authorized official phone:** (360) 729-1132

## Contact information

- **Practice address:** 1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
- **Practice address phone:** (541) 686-7034
- **Practice address fax:** (541) 335-2325
- **Mailing address:** 1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
- **Mailing address phone:** (541) 686-7034
- **Mailing address fax:** (541) 335-2325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 40 0223 | OR | Yes |

## Other

- **Enumeration date:** 03/26/2012
- **Last updated:** 04/16/2026