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Organization Active NPI

Multicare Health System

Doing business as Covington Multicare Clinic

  • Community/Retail Pharmacy
  • Covington, WA
National Provider Identifier
1275693244
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.00004705 Issued in WA
Legal business name
MULTICARE HEALTH SYSTEM
Doing business as
Covington Multicare Clinic
Practice address
17700 SE 272ND St
Ste 100
Covington, WA 98042-4951
Phone
(253) 372-7220
Fax
(253) 372-7221
NPI assigned
Dec 11, 2006
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MULTICARE HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Kelly Williams
Title
Director Provider Enrollment
Phone
(253) 459-8009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHAR.CF.00004705 WA Primary

Addresses

Primary practice location

17700 SE 272ND St
Ste 100
Covington, WA 98042-4951

Mailing address

17700 SE 272ND St Ste 100
Covington, WA 98042-4951
Phone (253) 372-7220

Other identifiers 2

IdentifierTypeStateIssuer
2109526OtherPK
1043545MedicaidWA

Other names 1

  • COVINGTON MULTICARE CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201222003022 WA Part B Supplier - Mass Immunization (Roster Biller Only) 7719899897 11 other NPIs on this enrollment
Practice locations: Tacoma, WA; Burien, WA; Spokane, WA; Puyallup, WA; Auburn, WA; Bonney Lake, WA; Covington, WA; Gig Harbor, WA
O20201231000479 WA Part B Supplier - Pharmacy 7719899897 11 other NPIs on this enrollment
Practice locations: Gig Harbor, WA; Tacoma, WA; Spokane, WA; Puyallup, WA; Covington, WA; Burien, WA; Bonney Lake, WA; Auburn, WA

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Tax ID family
MMG Westgate Urgent Car99 organizations share this tax ID, including this one
Part of
MMG Westgate Urgent Car

Organizations with this tax ID in the same state 24

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

View all 24

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1275693244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17700 SE 272ND ST STE 100",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424951",
            "telephone_number": "253-372-7220",
            "fax_number": "253-372-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 SE 272ND ST",
            "address_2": "STE 100",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424951",
            "telephone_number": "253-372-7220",
            "fax_number": "253-372-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICARE HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MULTICARE HEALTH SYSTEM",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "253-459-8009"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.00004705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2109526",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043545",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVINGTON MULTICARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COVINGTON MULTICARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, WA

Sources for this page

Verify at the official NPI Registry.