Franciscan Health System

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FRANCISCAN HEALTH SYSTEM

Doing business as

Franciscan Bonney Lake

Practice address

19420 State Route 410 E
Bonney Lake, WA 98391-8472

Phone

(253) 680-2187

NPI assigned

Apr 11, 2018

Last updated

Apr 11, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

CATHOLIC HEALTH INITIATIVESAs reported in NPPES

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

Authorized official

Name

Mike Fitzgerald

Title

Cfo

Phone

(253) 680-4005

Specialties & licenses 1

Addresses

Other names 1

• Franciscan Bonney Lake Doing business as

Part of

Catholic Health Initiatives

Member of 1

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

• Franciscan Health System

  dba Franciscan Psychology-Neuropsychology Services @ St Clare

  • Psychologist
  • Lakewood, WA
  • NPI 1093952145

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1255838694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BROADWAY STE 1200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023524",
            "telephone_number": "253-680-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 STATE ROUTE 410 E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918472",
            "telephone_number": "253-680-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "253-680-4005"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Bonney Lake",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Franciscan Bonney Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• R. Earl Floyd, DDS., PS
• Bernadine Kay Flynn, ARNP
• Michelle Marie Fodczuk
• Christa Diane Fonda, RD, CDR
• Paula A Foster, LMP
• Franciscan Medical Group (Franciscan Medical Clinic-Bonney Lake)
• Franciscan Medical Group (Lakes Family Medicine-Bonnie Lake)
• Fred Meyer Stores Inc (Fred Meyer Pharmacy)
• Freedom Recovery Center LLC
• Addison Taylor Freitag, DPT

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.