Organization
PEACEHEALTH
Active
Other names
St Joseph Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DALE J ZENDER (CFO)
(360) 788-6797
Entity
Organization
Contact information
Practice address
2901 SQUALICUM PARKWAY, BELLINGHAM, WA 98225
(360) 734-5400
(360) 756-3552
Mailing address
2901 SQUALICUM PARKWAY, BELLINGHAM, WA 98225
(360) 734-5400
(360) 756-3552
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991272
—
WA
05
—
1992833
—
WA
05
—
7010440
—
WA
05
—
7079056
—
WA
05
—
7150014
—
WA
Enumeration date
06/01/2007
Last updated
02/16/2011
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