Peacehealth
Peacehealth is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Longview, WA, holding Type 2 (organization) NPI 1508958331 since 2006. The authorized official on file is Thomas Haywood, Network Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508958331 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Peacehealth |
| Other name | <Unavail> |
| Practice address | 600 BROADWAY ST, Longview, WA, 98632 |
| Phone | 3604142000 |
| Enumeration date | 2006-09-29 |
| Last updated in NPPES | 2013-07-12 |
Authorized official
| Name | Thomas Haywood |
|---|---|
| Title | Network Cfo |
| Phone | 3604142173 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | H-026 | WA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3304508 | Medicaid | WA | — |
| 600521489 | Other | WA | UBI |
| H-026 | Other | WA | DOH LICENSE # |
Copy-ready billing details
Provider: Peacehealth NPI: 1508958331 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 600 BROADWAY ST, Longview, WA, 98632
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154315968 | Alicia Susilla | Individual | Registered Dietitian | Longview, WA |
| 1114911914 | Margaret Norman | Individual | Registered Dietitian | Longview, WA |
| 1114911922 | Gayle Tate-Casson | Individual | Clinical Social Worker | Longview, WA |
| 1285628099 | Robert Axelrod | Individual | Psychiatry Physician | Longview, WA |
| 1578557195 | Eilzabeth Coppola | Individual | Registered Dietitian | Longview, WA |
| 1568458842 | Brent Francisco | Individual | Psychiatric/Mental Health Nurse Practitioner | Longview, WA |
| 1770579773 | Carlos Carreon | Individual | Clinical Social Worker | Longview, WA |
| 1033105036 | Ramona Sherman | Individual | Psychiatric/Mental Health Nurse Practitioner | Longview, WA |
Verify this record
Cross-check NPI 1508958331 against the authoritative CMS record: view Peacehealth on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Peacehealth?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-07-12.