MEDICARE: FRANCISCAN 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
1	282N00000X	General Acute Care Hospital	H-032	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952309098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCAN HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	PO BOX 31001-1440
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91110-1440
Country	:	US
Telephone Number	:	253-573-7143
Fax Number	:	253-573-7059

Provider Business Practice Location Address
First Line	:	1717 S J ST
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-4933
Country	:	US
Telephone Number	:	253-573-7143
Fax Number	:	253-573-7059

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOSEPH W WILCZEK
Credential	:
Telephone Number	:	253-426-6989

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	03/08/2011

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Directions to “FRANCISCAN HEALTH SYSTEM ” Practice Location

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