Healthcare Provider Details

I. General information

NPI: 1164920781
Provider Name (Legal Business Name): MULTICARE HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2018
Last Update Date: 03/04/2021
Certification Date: 03/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 E HOLLAND AVE STE 112
SPOKANE WA
99218-1246
US

IV. Provider business mailing address

PO BOX 34697
SEATTLE WA
98124-1697
US

V. Phone/Fax

Practice location:
  • Phone: 509-755-5480
  • Fax: 509-232-4290
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JIM MCMANUS
Title or Position: SR VP-CHIEF FINANCIAL OFFICER
Credential:
Phone: 253-403-8020