Healthcare Provider Details

I. General information

NPI: 1093713091
Provider Name (Legal Business Name): ST FRANCIS COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 12/23/2020
Certification Date: 12/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34515 9TH AVE S
FEDERAL WAY WA
98003-6761
US

IV. Provider business mailing address

PO BOX 31001-1447
PASADENA CA
91110-1447
US

V. Phone/Fax

Practice location:
  • Phone: 253-573-7107
  • Fax: 253-573-7059
Mailing address:
  • Phone: 253-573-7107
  • Fax: 253-573-7059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberH-201
License Number StateWA

VIII. Authorized Official

Name: MR. KETUL J PATEL
Title or Position: CEO
Credential:
Phone: 253-426-6989