St Francis Community Hospital
Organization Active NPI Clinical Medical Laboratory · Federal Way, WA
NPI 1336353069 · NPPES record last updated Dec 23, 2020
Key facts
- NPI
- 1336353069
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- ST FRANCIS COMMUNITY HOSPITAL
- Practice address
- 34515 9TH Ave S
Federal Way, WA 98003-6761 - Phone
- (800) 752-8994
- NPI assigned
- May 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Kurt Rogers
- Title
- Cfo
- Phone
- (509) 755-8700
Owners & managing parties with NPI records 7
-
Gregg Stephen Meyer, M.D.
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 6
Member of 1
Affiliated clinicians 582
-
Hanni Laura Larissa Aaltonen, MD, PHD
-
Naseer Abbas, MD
-
Manoj Agarwal, MD, MBA
-
Mudassar Raees Ahmad, MB,BS
-
Gensuke Akaike, MD
-
Katayoun Akbari, PAC
-
Oviea Akpotaire, MD
-
Jordan Albano, PA-C
-
Jeffrey Grande Albores, M.D.
-
Robera Aman Aleye, ARNP
-
Fizzah M Ali, M.D.
-
Ata Alijani, MD
-
Ashley Elizabeth Aller, M.D.
-
Eric Gordon Alyea, D.O., M.P.H.
-
Joshua Alan Anderson, M.D.
-
Shane Selassie Anderson, MD PHD
-
Jessy Edgardo Ang Jr., M.D.
-
Trefan Archibald, MD
-
Abdullah Arjomand, M.D.
-
Bella Y. Arshinova, PA-C
-
Ann Asmussen, DO
-
Priyanka Attri, DO
Medicare Care Compare: Hospital
- Listed as
- St Francis Community Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0703265 | St Francis Hospital Laboratory | Accreditation | Apr 4, 2028 |
| 50D0897230 | St Francis Hospital Poct | Compliance | Apr 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
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
- Corporation · Non-profit
- Incorporated
- Aug 23, 1995 in WA
- Enrollment address
- 34515 9TH Ave S
Federal Way, WA 98003-6761 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Carlile |
Corporate Director | Jan 1, 2021 | |
| Diann E Puls |
Corporate Director | Jul 1, 2011 | |
| Uli Han-Hsiang CHI |
Corporate Director | Apr 1, 2013 | |
| Commonspirit Health |
5% Or Greater Indirect Ownership Interest | Jan 1, 2011 | 100% |
| Gregg S Meyer |
Corporate Director | Jan 1, 2021 | |
| Franciscan Health System |
5% Or Greater Direct Ownership Interest | Jan 1, 2011 | 100% |
| Robert Lemon |
Corporate Director | Jan 1, 2021 | |
| David Nosacka |
Corporate Director |
Jul 5, 2021 | |
| W-2 Managing Employee |
Jul 5, 2021 | ||
| Daniel Morissette |
Corporate Officer |
Feb 1, 2019 | |
| Other |
Sep 2, 2023 | ||
| Karen T Lee |
Corporate Director | Jan 1, 2021 | |
| John F Oppenheimer |
Corporate Director | Jan 1, 2021 | |
| David Butcherite |
W-2 Managing Employee | Jul 1, 2004 | |
| Carolyn Corvi |
Corporate Director | Jan 1, 2021 | |
| Ketul J Patel |
W-2 Managing Employee | Feb 23, 2015 | |
| Michael a Hoffman |
Corporate Director | Jul 1, 2012 | |
| Ruth Elizabeth Goodwin |
Corporate Director | Jul 1, 2020 | |
| Dennis Joseph Hunthausen |
Corporate Director | Jul 1, 2012 | |
| Tod Hamachek |
Corporate Director | Jan 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- United States Catholic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7079015 | Medicaid | WA |
Other names
- St Francis Pac Lab
Other providers in Federal Way, WA
- Minnie E Spindler
- Spokane Medical LLC
- Myur S Srikanth
- St Francis Community Hospital
- St Francis Community Hospital
- St Francis Community Hospital
- St Francis Community Hospital
- Sherry Lynn St. Luke
- Barbara Ann Staab
- Nora Celeste Stake
All providers in Federal Way, WA · Clinical Medical Laboratory in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.