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Organization

MULTICARE HEALTH SYSTEM

Active
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Organization

MULTICARE HEALTH SYSTEM

Active
Other names
Adolescent Behavioral Health at Tacoma General
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM GLENN ROBERTSON (CEO)
(253) 403-1272
Entity
Organization

Contact information

Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-0556
Mailing address
P.O. BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
601100682
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2071315
WA
01
500129
MEDICARE PROVIDER NUMBER
WA
Enumeration date
10/20/2016
Last updated
08/04/2025
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