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MULTICARE HEALTH SYSTEM NPI 1407409741


NPI Information

NPI: 1407409741
Provider Name: MULTICARE HEALTH SYSTEM

Doing Business As: PEDIATRICS NORTHWEST BY MARY BRIDGE CHILDREN'S

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 50D2220934

Address:
505 S 336TH ST # 210
FEDERAL WAY, WA
ZIP 98003
Phone: (253) 383-5777
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MULTICARE HEALTH SYSTEM is a pediatrics in Federal Way, WA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MULTICARE HEALTH SYSTEM NPI is 1407409741. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatrics Northwest By Mary Bridge Children's.

The provider's business location address is:

505 S 336TH ST # 210
FEDERAL WAY, WA
ZIP 98003-947
Phone: (253) 383-5777
Fax: (253) 383-5320

The provider's authorized official is Kelly E Williams .
The authorized official title is Manager, Provider Data & Enrollment and has the following contact phone number (253) 459-8009.

The CLIA number assigned to this NPI record is 50D2220934 - other - free standing er with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/16/2019 and was last updated on 10/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0201XPediatricsPediatric Allergy/ImmunologyNo
22080P0207XPediatricsPediatric Hematology-OncologyNo
32080P0214XPediatricsPediatric PulmonologyNo
42080S0012XPediatricsSleep MedicineNo
5363LP0200XNurse PractitionerPediatricsNo
6208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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