Organization
ST. JOHN'S EMERGENCY PHYSICIANS, INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODERICK W. BEAVER MD (PRESIDENT)
(360) 448-0587
Entity
Organization
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
Mailing address
PO BOX 101519, PASADENA, CA 91189-0009
(626) 447-0296
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028089
—
WA
05
—
227368
—
OR
Enumeration date
07/08/2006
Last updated
04/05/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us