Organization
MULTICARE HEALTH SYSTEM
Active
Other names
MultiCare Healthy Reflections Boutique - Gig Harbor
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT H SCHMITZ (CFO)
(253) 459-8000
Entity
Organization
Contact information
Practice address
4545 POINT FOSDICK DR NW, GIG HARBOR, WA 98335-1700
(253) 530-8122
Mailing address
PO BOX 5299, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
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
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45941
L&I
WA
05
—
7059298
—
WA
01
—
9061144
MEDICAID/DSHS DME SUPPLIER #
WA
Enumeration date
11/07/2007
Last updated
06/26/2009
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