Healthcare Provider Details

I. General information

NPI: 1245738665
Provider Name (Legal Business Name): MULTICARE HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2018
Last Update Date: 01/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9001 N COUNTRY HOMES BLVD
SPOKANE WA
99218-2072
US

IV. Provider business mailing address

PO BOX 34697
SEATTLE WA
98124-1697
US

V. Phone/Fax

Practice location:
  • Phone: 509-755-5334
  • Fax: 509-755-5376
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: ANNA LOOMIS
Title or Position: SR VP-CHIEF FINANCIAL OFFICE
Credential:
Phone: 253-403-8020