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NPI Code Detail

MEDICARE: MULTICARE HEALTH SYSTEM

MEDICARE: MULTICARE HEALTH SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0204XPediatric Emergency Medicine (Pediatrics) Physician
2208000000XPediatrics Physician

General Provider Information

NPI Number : 1093768194
Entity Type Code : Organization
Provider Name (Legal Business Name) : MULTICARE HEALTH SYSTEM
Provider Business Mailing Address
First Line : PO BOX 5299
Second Line : MS: 820-5-PCO
City : TACOMA
State : WA
Zip : 98415-0299
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 305 SOUTH L ST
Second Line :
City : TACOMA
State : WA
Zip : 98405-4234
Country : US
Telephone Number : 253-403-1418
Fax Number :
Authorized Official
Title or Position : CEO
Name : WILLIAM GLENN ROBERTSON
Credential :
Telephone Number : 253-403-1272
Provider Enumeration Date : 05/18/2006
Last Update Date : 06/08/2026

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Directions to “MULTICARE HEALTH SYSTEM ” Practice Location

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