NPIMap

Organization Active NPI

Franciscan Health System

  • Internal Medicine Physician
  • University Place, WA
National Provider Identifier
1366472508
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FRANCISCAN HEALTH SYSTEM
Practice address
2901 Bridgeport Way W
University Place, WA 98466-4614
Phone
(253) 534-7000
Fax
(253) 671-7099
NPI assigned
Jul 4, 2006
Organization subpart
Yes
Parent organization
FRANCISCAN HEALTH SYSTEMAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
David Nosacka
Title
Div SVP Financial Operations
Phone
(253) 552-4105

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Other NPIs on the same Medicare enrollment 26

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

View all 26

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Hospice

Medicare Care Compare
Listed as
Franciscan HospiceCCN 501526
Ownership
For-Profit
Certified
Apr 6, 1993
Medicare certification status
ActiveFrom the Provider of Services file

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
50D1035214Franciscan Hospice2901 Bridgeport Way W, University Place, WA 98466Certificate of waiverApr 4, 2028

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040209000147 WA Part B Supplier - Clinic/Group Practice 1557254935 Receives reassigned benefits from 27 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tacoma, WA; University Place, WA; Silverdale, WA; Puyallup, WA; Lakewood, WA; Gig Harbor, WA
O20050113001073 WA Part a Provider - Hospice 1557254935 Practice locations: University Place, WA

Hospice certification: CCN 501526

Medicare enrollment files
Legal name
COMMONSPIRIT WASHINGTON
Doing business as
FRANCISCAN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 6, 1993
Last certification
Apr 26, 2021
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Apr 6, 1993 in WA
Enrollment address
2901 Bridgeport Way W
University Place, WA 98466-4614

All disclosed owners & managing parties 22

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Hohimer Individual Corporate DirectorBoard Member Sep 1, 2024
Bethany C Fowler Individual W-2 Managing EmployeeMD; Jun 23, 2024
Robert Carlile Individual Corporate DirectorBoard Member 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 May 1, 1996 100%
Gregg S Meyer Individual Corporate DirectorBoard Member Jan 1, 2021
Commonspirit Washington Organization, Tacoma, WA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Anne Retailliau Sims Individual W-2 Managing EmployeeDirector Clinical Services Nov 13, 2022
Robert Lemon Individual Corporate DirectorBoard Member Jan 1, 2021
Charles R Arnold Individual Corporate DirectorBoard Member Sep 1, 2023
David Nosacka Individual Corporate OfficerCfo Jul 5, 2021
W-2 Managing Employee Jul 5, 2021
Daniel Morissette Individual Corporate OfficerCfo, Commonspirit Health Feb 1, 2019
Karen T Lee Individual Corporate DirectorBoard Member Jan 1, 2021
John F Oppenheimer Individual Corporate DirectorBoard Member Jan 1, 2021
Anne Lupita McNamara Individual Corporate DirectorBoard Member Sep 1, 2024
David Butcherite Individual Corporate OfficerCfo Apr 2, 2021
W-2 Managing Employee Apr 2, 2021
Carolyn Corvi Individual Corporate DirectorBoard Member Jan 1, 2021
Ketul J Patel Individual W-2 Managing Employee Feb 23, 2015
Ruth Elizabeth Goodwin Individual Corporate DirectorBoard Member Jan 1, 2021
Dennis Joseph Hunthausen Individual Corporate Director Jul 1, 2012
Tod Hamachek Individual Corporate DirectorBoard Member Jan 1, 2021

All facility ownership & control disclosures 9

Medicare enrollment files

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

FacilityTypeRoleSince
St Michael Medical CenterSilverdale, WA, CCN 500039 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 7, 2013
St Joseph Medical CenterTacoma, WA, CCN 500108 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2021
St Anne HospitalBurien, WA, CCN 500011 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2013
St Elizabeth HospitalEnumclaw, WA, CCN 501335 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 May 7, 2007
May 7, 2007
St Elizabeth HospitalEnumclaw, WA, CCN 50Z335 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 May 1, 2007
May 1, 2007
St Francis HospitalFederal Way, WA, CCN 500141 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2011
St Clare HospitalLakewood, WA, CCN 500021 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 2011
Jan 1, 2011
CHI Franciscan Rehabilitation HospitalTacoma, WA, CCN 503026 Hospital 5% Or Greater Direct Ownership Interest (51%) Jul 25, 2016
Wellfound Behavioral Health HospitalTacoma, WA, CCN 504016 Hospital 5% Or Greater Direct Ownership Interest (50%) Feb 1, 2016

National Provider Directory

National Provider Directory
Tax ID family
Franciscan HLTH System West24 organizations share this tax ID, including this one
Part of
Franciscan HLTH System West

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2901 Bridgeport Way W
University Place, WA 98466-4614

Mailing address

2901 Bridgeport Way W
University Place, WA 98466-4614
Phone (253) 534-7000

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
0205743OtherWASTATE L&I
7132491MedicaidWA
8940688OtherWACRIME VICTIMS

Other names 1

NPPES NPI Registry
  • Franciscan Hospice and Palliative Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 25, 2024.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1366472508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664614",
            "telephone_number": "253-534-7000",
            "fax_number": "253-671-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664614",
            "telephone_number": "253-534-7000",
            "fax_number": "253-671-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN HEALTH SYSTEM",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "NOSACKA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIV SVP FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "253-552-4105"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0205743",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7132491",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8940688",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.