Organization
FRANCISCAN HEALTH SYSTEM
Active
Other names
St Joseph Medical Center- South Dil
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH W WILCZEK (CEO)
(253) 680-4002
Entity
Organization
Contact information
Practice address
5825 TACOMA MALL BLVD, SUITE # 103, TACOMA, WA 98409-6906
(253) 573-7107
(253) 573-7059
Mailing address
PO BOX 31001-1462, PASADENA, CA 91110-1462
(253) 573-7107
(253) 573-7059
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2013
Last updated
10/07/2014
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