Healthcare Provider Details

I. General information

NPI: 1902818800
Provider Name (Legal Business Name): MULTICARE HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 08/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 S FIFE ST
TACOMA WA
98409-7309
US

IV. Provider business mailing address

PO BOX 5200 3901-1-HH
TACOMA WA
98415-0200
US

V. Phone/Fax

Practice location:
  • Phone: 253-301-6400
  • Fax:
Mailing address:
  • Phone: 253-301-6400
  • Fax: 253-301-6528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: VINCE SCHMITZ
Title or Position: CFO
Credential:
Phone: 253-459-8000