NPIMap

Organization Active NPI

United States Catholic Conference

  • Multi-Specialty Clinic/Center
  • Federal Way, WA
National Provider Identifier
1376766964
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
AP30006578 Issued in WA
Legal business name
UNITED STATES CATHOLIC CONFERENCE
Practice address
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone
(253) 944-7970
Fax
(253) 944-7936
NPI assigned
Apr 11, 2007
Organization subpart
Yes
Parent organization
UNITED STATES CATHOLIC CONFERENCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mike Fitzgerald
Title
VP, Financial Ops
Phone
(253) 552-4105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X AP30006578 WA Primary

Addresses

Primary practice location

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

Mailing address

34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 944-7970

Other identifiers 1

IdentifierTypeStateIssuer
7132137MedicaidWA

Other names 1

  • St Francis Burn & Wound Care Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
United States Catholic

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1376766964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34515 9TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036761",
            "telephone_number": "253-944-7970",
            "fax_number": "253-944-7936"
        },
        {
            "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": "253-944-7970",
            "fax_number": "253-944-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES CATHOLIC CONFERENCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED STATES CATHOLIC CONFERENCE",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP, FINANCIAL OPS",
        "authorized_official_telephone_number": "253-552-4105"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "AP30006578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7132137",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Francis Burn & Wound Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.