Organization
MULTICARE HEALTH SYSTEM
Active
Other names
MultiCare Immediate Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA L LOOMIS (SR VP - CFO)
(253) 403-8020
Entity
Organization
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G217104600
MEDICARE PTAN
WA
Enumeration date
10/25/2016
Last updated
10/25/2016
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