Organization Active NPI

Multicare Health System

  • Durable Medical Equipment & Medical Supplies
  • Lakewood, WA
National Provider Identifier
1124671847
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MULTICARE HEALTH SYSTEM
Practice address
9521 Gravelly Lake Dr SW
Lakewood, WA 98499-1513
Phone
(253) 983-9395
Fax
(253) 983-9411
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

9521 Gravelly Lake Dr SW
Lakewood, WA 98499-1513

Mailing address

P.O. Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190829000968 WA DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 7719899897 Practice locations: Lakewood, WA

National Provider Directory

National Provider Directory
Tax ID family
Covington Urgent Care C99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Ownership & related parties

All facility ownership & control disclosures 23

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tacoma General/Allenmore HospitalTacoma, WA, CCN 500129 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 1986
Mary Bridge Children'S HospitalTacoma, WA, CCN 503301 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
West Seattle Psychiatric HospitalSeattle, WA, CCN 504009 Hospital 5% Or Greater Indirect Ownership Interest (100%) May 1, 2017
Overlake Medical Center & ClinicsBellevue, WA, CCN 500051 Hospital Operational/Managerial Control (100%) Oct 1, 2024
Overlake Medical Center & ClinicsBellevue, WA, CCN 50S051 Hospital Operational/Managerial Control (100%) Oct 1, 2024
Yakima Valley MemorialYakima, WA, CCN 500036 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 17, 2023
Multicare Good Samaritan HospitalPuyallup, WA, CCN 500079 Hospital 5% Or Greater Direct Ownership Interest (100%) May 16, 2011
Multicare Good Samaritan HospitalPuyallup, WA, CCN 50T079 Hospital 5% Or Greater Direct Ownership Interest Apr 1, 2011
Yakima Valley Memorial Hospital AssociationYakima, WA, CCN 50S036 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 17, 2023
Multicare Auburn Medical CenterAuburn, WA, CCN 500015 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012
Multicare Behavioral Health Inpatient Services-AuburnAuburn, WA, CCN 50S015 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012
Multicare Valley HospitalSpokane Valley, WA, CCN 500119 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 30, 2017
Multicare Deaconess HospitalSpokane, WA, CCN 500044 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2017
Multicare Covington Medical CenterCovington, WA, CCN 500154 Hospital 5% Or Greater Direct Ownership Interest Feb 18, 2018
Wellfound Behavioral Health HospitalTacoma, WA, CCN 504016 Hospital 5% Or Greater Direct Ownership Interest (50%) Feb 1, 2016
Multicare Capital Medical CenterOlympia, WA, CCN 500139 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 5, 2021
Garden VillageYakima, WA, CCN 505010 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2010
Avalon Healthcare - TacomaTacoma, WA, CCN 505183 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (50%)
Aug 1, 2024
Aug 1, 2024
Multicare Home HealthTacoma, WA, CCN 507046 Home health agency 5% Or Greater Direct Ownership Interest Sep 21, 2007
Memorial Home Care ServicesYakima, WA, CCN 507028 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jan 17, 2023
Memorial Home Care / Hospice ServicesYakima, WA, CCN 501531 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 17, 2023
Multicare HospiceTacoma, WA, CCN 501508 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Apr 1, 2011
Apr 1, 2011
PNW Hospice LLCTacoma, WA, CCN 501555 Hospice 5% Or Greater Direct Ownership Interest (100%) May 3, 2023

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1124671847",
    "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": "9521 GRAVELLY LAKE DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991513",
            "telephone_number": "253-983-9395",
            "fax_number": "253-983-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICARE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "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 Lakewood, WA

Sources for this page

Verify at the official NPI Registry.