Organization
MULTICARE HEALTH SYSTEM
Active
Other names
MultiCare Healthy Reflections Boutique - Covington
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT H SCHMITZ (CFO)
(253) 459-8000
Entity
Organization
Contact information
Practice address
17700 SE 272ND ST STE 160, COVINGTON, WA 98042-4951
(253) 372-7265
Mailing address
17700 SE 272ND ST STE 160, COVINGTON, WA 98042-4951
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0002X
Clinic Pharmacy
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45941
L&I
WA
05
—
7062813
—
WA
01
—
9061151
DSHS DME SUPPLIER #
WA
Enumeration date
11/08/2007
Last updated
02/19/2010
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