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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Longview
State
Washington
Zip
98632-3256
Phone Number
360-414-2000
Fax Number
person
Provider Business Mailing Address Details
Address
600 Broadway St
City
Longview
State
Washington
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
261QE0700X
License No.
H-026 (Washington)
Definition
Definition to come...
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