NPIMap

Organization Active NPI

Franciscan Health System

Doing business as St Joseph Medical Center

  • General Acute Care Hospital
  • Tacoma, WA
National Provider Identifier
1124291117
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H-032 Issued in WA
Legal business name
FRANCISCAN HEALTH SYSTEM
Doing business as
St Joseph Medical Center
Practice address
1717 S J St
Tacoma, WA 98405-4933
Phone
(253) 396-6790
Fax
(253) 396-6730
NPI assigned
Apr 10, 2008
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Mr. Joseph W Wilczek
Title
Ceo
Phone
(253) 426-6989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H-032 WA Primary

Addresses

Primary practice location

1717 S J St
Tacoma, WA 98405-4933

Mailing address

PO Box 31001-1440
Pasadena, CA 91110-1440
Phone (253) 573-7107

Other identifiers 1

IdentifierTypeStateIssuer
3309309MedicaidWA

Other names 1

  • St Joseph Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070219000203 WA Part A Provider - Hospital 1557254935 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tacoma, WA; Gig Harbor, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124291117. Details of each certification follow.

Hospital certification: CCN 500108

Legal name
FRANCISCAN HEALTH SYSTEM
Doing business as
ST JOSEPH MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 17, 1993
Beds
340
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Aug 23, 1995 in WA
Enrollment address
1717 S J St
Tacoma, WA 98405-4933
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 Joseph Medical CenterCCN 500108 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
St. Joseph Medical CenterCCN 50T108
Ownership
Non-profit
Certified
Jul 1, 1984

This is a unit of this hospital with its own CMS Certification Number. Care Compare reports it separately, and it has no NPI of its own. How units are connected

National Provider Directory

National Provider Directory
Tax ID family
St Joseph Hospital Lab24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 24

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 DirectorBoard Member Jan 1, 2021
James Leroy Smalley Individual Corporate Director Aug 7, 2013
Diann E Puls Individual Corporate Director Jul 1, 2011
Uli Han-Hsiang CHI Individual Corporate Director Apr 1, 2013
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 23, 1995 100%
Gregg S Meyer Individual Corporate DirectorBoard Member Jan 1, 2021
Franciscan Health System Organization, Tacoma, WA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Robert Lemon Individual Corporate DirectorBoard Member Jan 1, 2021
David Nosacka Individual Corporate OfficerCfo Jul 5, 2021
W-2 Managing EmployeeCfo Jul 5, 2021
Daniel Morissette Individual Corporate OfficerCfo Commonspirit Health Feb 1, 2019
OtherCfo Commonspirit Health Sep 1, 2023
Roy T Brooks Individual Corporate Director Jul 1, 2016
Karen T Lee Individual Corporate DirectorBoard Member Jan 1, 2021
Larry David Bjork Individual Corporate Director Apr 1, 2013
John F Oppenheimer Individual Corporate DirectorBoard Member Jan 1, 2021
Anne Lupita McNamara Individual Corporate Director Jul 1, 2010
David Butcherite Individual W-2 Managing EmployeeController Jul 1, 2004
Carolyn Corvi Individual Corporate DirectorBoard Member Jan 1, 2021
Ketul J Patel Individual Corporate OfficerCeo Feb 23, 2015
W-2 Managing Employee Feb 23, 2015
Michael a Hoffman Individual Corporate Director Jul 1, 2012
Linda D Burkhardt Individual Corporate Director Jul 1, 2013
Ruth Elizabeth Goodwin Individual Corporate Director Jul 1, 2020
James Tedd Civilla Individual Corporate Director Aug 7, 2013
Dennis Joseph Hunthausen Individual Corporate Director Jul 1, 2012
Tod Hamachek Individual Corporate DirectorBoard Member Jan 1, 2021

Owners & managing parties with NPI records 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 1,490

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

View all 1,490

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1124291117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-1440",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911101440",
            "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": "1717 S J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054933",
            "telephone_number": "253-396-6790",
            "fax_number": "253-396-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "WILCZEK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "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-032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3309309",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Joseph Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.