Organization
PEACEHEALTH
Active
Other names
St John Medical Center - PeaceHealth Medical Group
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 364, VANCOUVER, WA 98683-8004
(360) 414-2092
(360) 578-3367
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
H-026
WA
Other
Enumeration date
08/17/2006
Last updated
04/16/2026
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