MEDICARE: MULTICARE HEALTH SYSTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208100000X	Physical Medicine & Rehabilitation Physician
2	225100000X	Physical Therapist
3	225X00000X	Occupational Therapist
4	231H00000X	Audiologist
5	235Z00000X	Speech-Language Pathologist
6	363A00000X	Physician Assistant
7	363L00000X	Nurse Practitioner
8	207V00000X	Obstetrics & Gynecology Physician
9	208000000X	Pediatrics Physician
10	104100000X	Social Worker
11	133N00000X	Nutritionist
12	133V00000X	Registered Dietitian
13	170100000X	Ph.D. Medical Genetics
14	207R00000X	Internal Medicine Physician
15	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1386112977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MULTICARE HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	PO BOX 5299
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98415-0299
Country	:	US
Telephone Number	:	253-403-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	9420 N NEWPORT HWY STE 103
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1391
Country	:	US
Telephone Number	:	253-403-1000
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER ENROLLMENT SPECIALIST
Name	:	CECILIA J CARTER
Credential	:
Telephone Number	:	253-459-8231

Provider Enumeration Date	:	11/13/2018
Last Update Date	:	11/20/2018

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Directions to “MULTICARE HEALTH SYSTEM ” Practice Location

Language	Start Address	Practice Location

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