MEDICARE: HARRISON MEDICAL CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	276400000X	Substance Use Disorder Rehabilitation Hospital Unit
2	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1508709379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRISON MEDICAL CENTER

Provider Business Mailing Address
First Line	:	16251 SYLVESTER RD SW
Second Line	:
City	:	BURIEN
State	:	WA
Zip	:	98166-3017
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16251 SYLVESTER RD SW
Second Line	:
City	:	BURIEN
State	:	WA
Zip	:	98166-3017
Country	:	US
Telephone Number	:	206-431-5310
Fax Number	:	206-246-4367

Authorized Official
Title or Position	:	CFO
Name	:	DAVID NOSACKA
Credential	:
Telephone Number	:	253-680-4005

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “HARRISON MEDICAL CENTER ” Practice Location

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