Active NPI
Multicare Health System
- Durable Medical Equipment & Medical Supplies
- Gig Harbor, WA
National Provider Identifier
1477733368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MULTICARE HEALTH SYSTEM
- Practice address
- 4545 Point Fosdick Dr NW
Gig Harbor, WA 98335-1700 - Phone
- (253) 530-8122
- NPI assigned
- Nov 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vincent H Schmitz
- Title
- Cfo
- Phone
- (253) 459-8000
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Dialysis Equipment & Supplies (DME) | 332BD1200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Pharmacy | 333600000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
4545 Point Fosdick Dr NW
Gig Harbor, WA 98335-1700
Mailing address
PO Box 5299
Tacoma, WA 98415-0299
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9061144 | Other | WA | MEDICAID/DSHS DME SUPPLIER # |
| 45941 | Other | WA | L&I |
| 7059298 | Medicaid | WA |
Other names 1
- MultiCare Healthy Reflections Boutique - Gig Harbor
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245974400000",
"number": "1477733368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5299",
"city": "TACOMA",
"state": "WA",
"postal_code": "984150299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 POINT FOSDICK DR NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351700",
"telephone_number": "253-530-8122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTICARE HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-07",
"last_updated": "2009-06-26",
"status": "A",
"authorized_official_last_name": "SCHMITZ",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "253-459-8000"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID/DSHS DME SUPPLIER #",
"identifier": "9061144",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "45941",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7059298",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MultiCare Healthy Reflections Boutique - Gig Harbor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.