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NPI Code Detail

MEDICARE: PEACEHEALTH

MEDICARE: PEACEHEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care HospitalH-145WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689677320
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEACEHEALTH
Provider Business Mailing Address
First Line : 2901 SQUALICUM PKWY
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1898
Country : US
Telephone Number : 360-734-5400
Fax Number : 360-756-6830
Provider Business Practice Location Address
First Line : 2901 SQUALICUM PKWY
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1851
Country : US
Telephone Number : 360-734-5400
Fax Number : 360-756-6830
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. DALE JACOB ZENDER
Credential :
Telephone Number : 360-738-6313
Provider Enumeration Date : 05/25/2005
Last Update Date : 02/16/2011

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1780689778 — JASON STOANE MD
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98225-1851
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1568468890 — LARS CRABO MD
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98225-1851
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1558367813 — VALERIE BEHRNDT MD
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2901 SQUALICUM PKWY
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Directions to “PEACEHEALTH ” Practice Location

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