Organization
FRANCISCAN HEALTH SYSTEM
Active
Parent organization
FRANCISCAN HEALTH SYSTEM
Other names
St Joseph Cardiothoracic Surgeons
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN HEALTH SYSTEM
Authorized official
MR. MIKE FITZGERALD (VP FINANCIAL OPS)
(253) 552-4105
Entity
Organization
Contact information
Practice address
1802 YAKIMA AVE, SUITE 102, TACOMA, WA 98405-4499
(253) 272-7777
(253) 426-4142
Mailing address
1802 YAKIMA AVE, SUITE 102, TACOMA, WA 98405-4499
(253) 272-7777
(253) 426-4142
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191190
STATE L&I
WA
01
—
0292620
L&I
WA
01
—
0293927
L&I
WA
05
—
7125818
—
WA
01
—
8939625
CRIME VICTIMS
WA
01
—
CU0613
MEDICARE RAILROAD
WA
01
—
G8868766
MEDICARE
WA
01
—
GAB07438
LEGACY
WA
01
—
P00625530
RR MEDICARE
WA
Enumeration date
06/15/2006
Last updated
07/09/2012
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