Organization
MULTICARE HEALTH SYSTEM
Active
Other names
Mary Bridge Children's Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GLENN ROBERTSON (CEO)
(253) 403-1272
Entity
Organization
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, MS: 315-C2-HIN, TACOMA, WA 98405-4234
(253) 403-1833
(253) 403-1845
Mailing address
P.O. BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
IHS.FS.00000372
WA
251F00000X
Home Infusion Agency
—
WA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHAR.CF.00056243
WA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHAR.CF.00056243
WA
3336S0011X
Specialty Pharmacy
BM6171588
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4926640
NAPB
WA
Enumeration date
08/18/2006
Last updated
02/23/2026
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