Peacehealth
NPI 1255977591ActiveOrganization· Urology· Longview, WA
Urology in Longview, Washington, registered in NPPES in November 2019, part of Peacehealth. The authorized official on file is Michael Charles Metcalf, Chief Executive Phmg. Enrolled in Medicare as dme supplier - physician - urology.
Overview
| NPI | 1255977591 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Peacehealth |
| NPI issued | Nov 21, 2019 |
| Last updated in NPPES | Nov 27, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Urology (WA) |
|---|
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