Organization
MULTICARE HEALTH SYSTEM
Active
Other names
MultiCare Rockwood Intergrated Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA J CARTER (PROVIDER ENROLLMENT SPECIALIST)
(253) 459-8231
Entity
Organization
Contact information
Practice address
2420 E 29TH AVE STE 100, SPOKANE, WA 99223-4868
(509) 724-4320
(509) 232-0188
Mailing address
PO BOX 5299, MS: 737-3-PCON, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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