NPIMap

Organization Active NPI

St Francis Community Hospital

Doing business as St Francis Pac Lab

  • Clinical Medical Laboratory
  • Federal Way, WA
National Provider Identifier
1336353069
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ST FRANCIS COMMUNITY HOSPITAL
Doing business as
St Francis Pac Lab
Practice address
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone
(800) 752-8994
NPI assigned
May 10, 2007
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. Kurt Rogers
Title
Cfo
Phone
(509) 755-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

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

Mailing address

PO Box 2670
Spokane, WA 99220-2670
Phone (800) 752-8994

Other names 1

  • St Francis Pac Lab Doing business as

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
This NPI is an additional NPI on the 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 1336353069. 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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0703265St Francis Hospital Laboratory34515 9TH Ave S, Federal Way, WA 98003AccreditationApr 4, 2028
50D0897230St Francis Hospital Poct34515 9TH Ave S, Federal Way, WA 98003ComplianceApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
St Francis Community Hospital7 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

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

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.

Practitioners & affiliated clinicians

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1336353069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2670",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992202670",
            "telephone_number": "800-752-8994"
        },
        {
            "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": "800-752-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-755-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Francis Pac Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Francis Pac Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.