institution
Peacehealth
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Longview, Washington
NPI 1508958331

Peacehealth is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Vancouver, WA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Peacehealth practices in Longview, WA. The NPI Number for Peacehealth is 1508958331 and holds a License No. H-026 (Washington).

The current practice location address for Peacehealth is 600 Broadway St, Longview, WA and can be reached out via phone at 360-414-2000.

Location: 600 Broadway St, Longview, WA, 98683-9324
institution
Provider Profile Details
NPI Number
1508958331
Provider Name
Peacehealth
Credential
Provider Entity Type
Organization
Address
600 Broadway St, Longview, WA, 98683-9324
Phone Number
360-414-2000
Fax Number
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3304508 05 WA
600521489 01 WA UBI
H-026 01 WA DOH LICENSE #
institution
Provider Business Practice Location Address Details
Address
600 Broadway St
City
State
Zip
98632-3256
Phone Number
360-414-2000
Fax Number
person
Provider Business Mailing Address Details
Address
600 Broadway St
City
State
Zip
98632-3256
Phone Number
360-414-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
H-026 (Washington)
Definition
Definition to come...
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