Organization
PEACEHEALTH
Active
Other names
St John Medical Center - Occupational Health
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HAYWOOD (NETWORK CFO)
(360) 514-6667
Entity
Organization
Contact information
Practice address
1405 DELAWARE ST, LONGVIEW, WA 98632-2326
(360) 414-2332
Mailing address
PO BOX 3002, LONGVIEW, WA 98632-0302
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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