Organization
PEACEHEALTH
Active
Other names
St. John Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR CRAIG SPRINGER II (SYS VP FIN INTEGRITY/CONTROLLER)
(360) 729-1132
Entity
Organization
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 414-2000
Mailing address
1115 SE 164TH AVE DEPT 328, VANCOUVER, WA 98683-8003
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
H-026
WA
282N00000X
General Acute Care Hospital
Primary
H-026
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3304508
—
WA
01
—
600 521 489
UBI NUMBER
—
Enumeration date
07/01/2005
Last updated
04/16/2026
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