Organization
MARY BRIDGE CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCET H SCHMITZ CFO (CHIEF FINANCIAL OFFICER)
(253) 459-8000
Entity
Organization
Contact information
Practice address
317 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1420
Mailing address
317 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1420
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
—
—
283XC2000X
Children's Rehabilitation Hospital
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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