| Peace Harbor Medical Center | |
|
400 9th St Florence OR 97439-7398 | |
| (541) 686-7191 | |
| (541) 335-2325 |
| Full Name | Peace Harbor Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 400 9th St, Florence, Oregon |
| Authorized Official Name and Position | Debbie A Rodet (ADMINISTRATIVE ASST) |
| Authorized Official Contact | 5419026140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Harbor Medical Center Po Box 569 Eugene OR 97440-0569 Ph: (541) 686-7191 | Peace Harbor Medical Center 400 9th St Florence OR 97439-7398 Ph: (541) 686-7191 |
| NPI Number | 1578552402 |
|---|---|
| Provider Enumeration Date | 10/13/2005 |
| Last Update Date | 02/27/2013 |
| Medicare PECOS PAC ID | 4587573001 |
|---|---|
| Medicare Enrollment ID | O20061104000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578552402 | NPI | - | NPPES |
| 000195 | Medicaid | OR | |
| 1982774378 | Other | OR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 140711 (Oregon) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 140711 (Oregon) | Primary |
| Provider Name | Brigitte D Fink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699716480 PECOS PAC ID: 7911893664 Enrollment ID: I20040227000544 |
| Provider Name | William Strek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447228085 PECOS PAC ID: 5597751917 Enrollment ID: I20040421001769 |
| Provider Name | Sharon H Flynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184694812 PECOS PAC ID: 3779563606 Enrollment ID: I20040722000009 |
| Provider Name | Leo Cytrynbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659341386 PECOS PAC ID: 1951381888 Enrollment ID: I20040722000020 |
| Provider Name | Scott C Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497794127 PECOS PAC ID: 0244201473 Enrollment ID: I20040803000230 |
| Provider Name | Emily S Downing Moore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801865738 PECOS PAC ID: 7810981081 Enrollment ID: I20050608000042 |
| Provider Name | Sarah A Kooienga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457456212 PECOS PAC ID: 6103922893 Enrollment ID: I20070425000624 |
| Provider Name | Ryan Garrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114149390 PECOS PAC ID: 5799719266 Enrollment ID: I20080128000523 |
| Provider Name | Margaret R Pattison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346455524 PECOS PAC ID: 8729138540 Enrollment ID: I20090616000505 |
| Provider Name | Jeffrey R Salerno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235306051 PECOS PAC ID: 7517018252 Enrollment ID: I20090619000384 |
| Provider Name | Patrick G Tandingan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1992859623 PECOS PAC ID: 5193871689 Enrollment ID: I20090924000664 |
| Provider Name | Kimberly A Bock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821060591 PECOS PAC ID: 4385770650 Enrollment ID: I20100326000259 |
| Provider Name | Jordan Marie Raymer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003071580 PECOS PAC ID: 8022251222 Enrollment ID: I20130906000262 |
| Provider Name | Brenda Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861574824 PECOS PAC ID: 5890019632 Enrollment ID: I20150126002317 |
| Provider Name | Christine Y Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457514903 PECOS PAC ID: 7416112420 Enrollment ID: I20150417001893 |
| Provider Name | Bianca Jacobs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760745848 PECOS PAC ID: 6608180468 Enrollment ID: I20150806012370 |
| Provider Name | Alice So |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407968431 PECOS PAC ID: 0345345781 Enrollment ID: I20160201001308 |
| Provider Name | Jeremy T Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073957148 PECOS PAC ID: 7416259452 Enrollment ID: I20160803000849 |
| Provider Name | Katherine F Ready |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609139062 PECOS PAC ID: 8527289305 Enrollment ID: I20171003005245 |
| Provider Name | Kathleen Rubio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629484472 PECOS PAC ID: 4880960012 Enrollment ID: I20171214002920 |
| Provider Name | Mark Schuchman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20180531002299 |
| Provider Name | Chen-wen Heh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467449629 PECOS PAC ID: 6507885670 Enrollment ID: I20180721000132 |
| Provider Name | Sydney Marie Lefay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801215249 PECOS PAC ID: 7113216193 Enrollment ID: I20181029001864 |
| Provider Name | Dennis Patrick Grusenmeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871568113 PECOS PAC ID: 0648299644 Enrollment ID: I20190621002037 |
| Provider Name | Ashley L St Germain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174919120 PECOS PAC ID: 5092018671 Enrollment ID: I20190913002399 |
| Provider Name | Inga Giske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912471228 PECOS PAC ID: 1153752621 Enrollment ID: I20200518000683 |
| Provider Name | Brian Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336461813 PECOS PAC ID: 3072644228 Enrollment ID: I20210524000565 |
| Provider Name | Jonas I Pologe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366806382 PECOS PAC ID: 8426394040 Enrollment ID: I20210721003296 |
| Provider Name | Arissa R Walberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891185286 PECOS PAC ID: 2062709660 Enrollment ID: I20210723003226 |
| Provider Name | Maura Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720407364 PECOS PAC ID: 8729206529 Enrollment ID: I20210813000754 |
| Provider Name | Joel Valencia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538695788 PECOS PAC ID: 1254682685 Enrollment ID: I20211129002300 |
| Provider Name | Sara Covey Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477161453 PECOS PAC ID: 9638563620 Enrollment ID: I20220309000788 |
| Provider Name | Jon Ahlstrom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437146065 PECOS PAC ID: 9537067103 Enrollment ID: I20220412000739 |
| Provider Name | Nicholas Crall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316262645 PECOS PAC ID: 3274761333 Enrollment ID: I20220421001341 |
| Provider Name | Julie A Tenbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164417606 PECOS PAC ID: 6709876279 Enrollment ID: I20220425002464 |
| Provider Name | Liza Rodriguez-jimenez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346222049 PECOS PAC ID: 1456315563 Enrollment ID: I20220428000446 |
| Provider Name | Patrick E Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134655855 PECOS PAC ID: 9739561358 Enrollment ID: I20220728003727 |
| Provider Name | Reena Baharani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659631950 PECOS PAC ID: 5395018865 Enrollment ID: I20220803001505 |
| Provider Name | Jordan R Chick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477015436 PECOS PAC ID: 7719361617 Enrollment ID: I20220825003960 |
| Provider Name | Maximilian Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699206193 PECOS PAC ID: 4284961525 Enrollment ID: I20221017001868 |
| Provider Name | John Mckenna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316333610 PECOS PAC ID: 0345530465 Enrollment ID: I20221021000831 |
| Provider Name | Jai Jung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841723541 PECOS PAC ID: 5890101802 Enrollment ID: I20230202001140 |
| Provider Name | Byron Patrick Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538819990 PECOS PAC ID: 2264804244 Enrollment ID: I20230221002612 |
| Provider Name | Sadie Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467167098 PECOS PAC ID: 4183099120 Enrollment ID: I20230405001740 |
| Provider Name | Janette Coelho Leal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992090708 PECOS PAC ID: 4981844305 Enrollment ID: I20230523002747 |
| Provider Name | Kodjovi Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20230607001792 |
| Provider Name | Deborah A Suggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801529888 PECOS PAC ID: 1355701582 Enrollment ID: I20230719000834 |
| Provider Name | John Stanger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598290900 PECOS PAC ID: 1557722501 Enrollment ID: I20230807002918 |
| Provider Name | Jose Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669086641 PECOS PAC ID: 4183043383 Enrollment ID: I20230824002628 |
| Provider Name | Lisa Diane Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336804277 PECOS PAC ID: 2567825375 Enrollment ID: I20230828000615 |
| Provider Name | Ezra J Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144932997 PECOS PAC ID: 9234592726 Enrollment ID: I20230831001018 |
| Provider Name | Kristina C Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659749471 PECOS PAC ID: 5890003271 Enrollment ID: I20230919003674 |
| Provider Name | Hershenta R Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619466844 PECOS PAC ID: 6204213325 Enrollment ID: I20231018001778 |
| Provider Name | Emily S Downing Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801865738 PECOS PAC ID: 7810981081 Enrollment ID: I20231026004152 |
| Provider Name | Nadia Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902093925 PECOS PAC ID: 2860540754 Enrollment ID: I20231108001925 |
| Provider Name | Jeffry Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063477545 PECOS PAC ID: 7113961012 Enrollment ID: I20231222002631 |
| Provider Name | Omar Naji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962630392 PECOS PAC ID: 6901030279 Enrollment ID: I20240129003824 |
Planned Parenthood Of Southwestern Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4969 Highway 101, Florence, OR 97439 Phone: 541-344-2632 Fax: 541-344-6519 | |
Oregon Integrated Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 9th St Unit 4, Florence, OR 97439 Phone: 866-972-0235 Fax: 458-201-3775 | |
Wellspring Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Highway 126 Ste H, Florence, OR 97439 Phone: 541-902-8860 | |
Monarch Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2775 Hwy 101, Suite B, Florence, OR 97439 Phone: 541-465-3966 Fax: 541-465-3967 | |
Bestmed Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4480 Highway 101 Ste G, Florence, OR 97439 Phone: 458-215-2185 | |
Peace Harbor Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 380 9th St, Florence, OR 97439 Phone: 541-997-7134 Fax: 541-902-7533 |