Organization
FRANCISCAN HEALTH SYSTEM
Active
Other names
St. Jospeh Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH W WILCZEK (ECO)
(253) 426-6989
Entity
Organization
Contact information
Practice address
702 S HILL PARK DR STE 105, PUYALLUP, WA 98373-1426
(253) 573-7143
Mailing address
PO BOX 31001-1440, PASADENA, CA 91110-1440
(253) 573-7143
(253) 573-7059
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3990561
—
WA
Enumeration date
07/13/2006
Last updated
10/14/2013
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