| Organization Name: | PEACEHEALTH UNITED GENERAL MEDICAL CENTER |
| NPI Number: | 1144664954 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALE J ZENDER (CAO/NW NETWORK CFO) |
| Mailing Address: | 2000 Hospital Dr Sedro Woolley |
| State: | WA US |
| Postal Code: | 982844327 |
| Phone Number: | 3607887768 |
| Fax Number: | 3607142508 |
| NPI Enumeration Date: | 04/23/2013 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | HAC.FS.60417818 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |