Peacehealth
NPI #1508958331 in Longview, Washington
Provider Information
- NPI Number
- 1508958331
- Entity Type
- Organization
- Organization Name
- Peacehealth
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 29, 2006
- Last Updated
- Jul 12, 2013
Practice Location
- Address
- 600 BROADWAY ST
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3256
- Phone
- (360) 414-2000
Authorized Official
- Name
- THOMAS HAYWOOD
- Title
- NETWORK CFO
- Phone
- (360) 414-2173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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