Active NPI
Multicare Health System
- Durable Medical Equipment & Medical Supplies
- Kent, WA
National Provider Identifier
1063296572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MULTICARE HEALTH SYSTEM
- Practice address
- 25615 - 104TH Ave SE
Kent, WA 98030 - Phone
- (253) 872-2030
- Fax
- (253) 872-2550
- NPI assigned
- Aug 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Glenn Robertson
- Title
- Ceo
- Phone
- (253) 403-1272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
25615 - 104TH Ave SE
Kent, WA 98030
Mailing address
P.O. Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754265600000",
"number": "1063296572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5299",
"address_2": "MS: 820-5-PCO",
"city": "TACOMA",
"state": "WA",
"postal_code": "984150299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25615 - 104TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "98030",
"telephone_number": "253-872-2030",
"fax_number": "253-872-2550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTICARE HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-24",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "GLENN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "253-403-1272"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.