# PEACEHEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peace Harbor Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982774378
- **Authorized official:** RICHARD L YECNY (CEO)
- **Authorized official phone:** (541) 902-6540

## Contact information

- **Practice address:** 380 9TH ST, FLORENCE, OR 97439-9470
- **Practice address phone:** (541) 997-7134
- **Practice address fax:** (541) 902-7533
- **Mailing address:** PO BOX 24410, EUGENE, OR 97402-0451
- **Mailing address phone:** (541) 902-6140
- **Mailing address fax:** (541) 902-7533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 140711 | OR | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 04/08/2013