NPIMap

Organization Active NPI

St Francis Community Hospital

  • General Acute Care Hospital
  • Federal Way, WA
National Provider Identifier
1093713091
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H-201 Issued in WA
Legal business name
ST FRANCIS COMMUNITY HOSPITAL
Practice address
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone
(253) 573-7107
Fax
(253) 573-7059
NPI assigned
Jul 13, 2005
Last updated
Dec 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ketul J Patel
Title
Ceo
Phone
(253) 426-6989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H-201 WA Primary

Addresses

Primary practice location

34515 9TH Ave S
Federal Way, WA 98003-6761

Mailing address

PO Box 31001-1447
Pasadena, CA 91110-1447
Phone (253) 573-7107

Other identifiers 1

IdentifierTypeStateIssuer
3300118MedicaidWA

Other names 1

  • Franciscan Health System Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110421000402 WA Part A Provider - Hospital 4486544574 2 other NPIs on this enrollment
Practice locations: Bonney Lake, WA; Federal Way, WA; Gig Harbor, WA; Tacoma, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093713091. Details of each certification follow.

Hospital certification: CCN 500141

Legal name
ST FRANCIS COMMUNITY HOSPITAL
Doing business as
ST FRANCIS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 17, 1987
Last certification
Dec 28, 1990
Beds
110
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Aug 23, 1995 in WA
Enrollment address
34515 9TH Ave S
Federal Way, WA 98003-6761
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
St Francis Community HospitalCCN 500141 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
United States Catholic7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1905 Bridgeport Way W
Ste 202
University Place, WA 98466

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Carlile Individual Corporate Director Jan 1, 2021
Diann E Puls Individual Corporate Director Jul 1, 2011
Uli Han-Hsiang CHI Individual Corporate Director Apr 1, 2013
Commonspirit Health Organization, Englewood, CO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2011 100%
Gregg S Meyer Individual Corporate Director Jan 1, 2021
Franciscan Health System Organization, Tacoma, WA Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2011 100%
Robert Lemon Individual Corporate Director Jan 1, 2021
David Nosacka Individual Corporate DirectorCfo Jul 5, 2021
W-2 Managing EmployeeCfo Jul 5, 2021
Daniel Morissette Individual Corporate OfficerCfo, Commonspirit Health Feb 1, 2019
OtherCfo, Commonspirit Health Sep 2, 2023
Karen T Lee Individual Corporate Director Jan 1, 2021
John F Oppenheimer Individual Corporate Director Jan 1, 2021
David Butcherite Individual W-2 Managing Employee Jul 1, 2004
Carolyn Corvi Individual Corporate Director Jan 1, 2021
Ketul J Patel Individual W-2 Managing Employee Feb 23, 2015
Michael a Hoffman Individual Corporate Director Jul 1, 2012
Ruth Elizabeth Goodwin Individual Corporate Director Jul 1, 2020
Dennis Joseph Hunthausen Individual Corporate Director Jul 1, 2012
Tod Hamachek Individual Corporate Director Jan 1, 2021

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 101

Affiliated clinicians 582

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 582

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1093713091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-1447",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911101447",
            "telephone_number": "253-573-7107",
            "fax_number": "253-573-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34515 9TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036761",
            "telephone_number": "253-573-7107",
            "fax_number": "253-573-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KETUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-426-6989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "H-201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3300118",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Health System",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Franciscan Health System",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.