NPIMap

Organization Active NPI

Saint Clare Hospital

Doing business as ST. Clare Hospital

  • General Acute Care Hospital
  • Lakewood, WA
National Provider Identifier
1689672693
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H-132 Issued in WA
Legal business name
SAINT CLARE HOSPITAL
Doing business as
ST. Clare Hospital
Practice address
11315 Bridgeport Way SW
Lakewood, WA 98499
Phone
(253) 396-6790
Fax
(253) 396-6790
NPI assigned
Jul 13, 2005
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC HEALTH INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Roberta Jo Wittorf
Title
VP Finance
Phone
(509) 551-5319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H-132 WA Primary

Addresses

Primary practice location

11315 Bridgeport Way SW
Lakewood, WA 98499

Mailing address

PO Box 31001-1454
Pasadena, CA 91110-1454
Phone (253) 573-7143

Other identifiers 1

IdentifierTypeStateIssuer
3300258MedicaidWA

Other names 1

  • ST. Clare Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110606000169 WA Part A Provider - Hospital 4981593563 1 other NPI on this enrollment
Practice locations: Lakewood, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689672693. Details of each certification follow.

Hospital certification: CCN 500021

Legal name
SAINT CLARE HOSPITAL
Doing business as
ST CLARE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 8, 1993
Beds
105
Ownership / control type
Church
Organization structure
CorporationNon-profit
Enrollment address
11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St Clare HospitalCCN 500021 · 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

National Provider Directory

National Provider Directory
Tax ID family
St Clare Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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.

  • Commonspirit Washington

    dba Franciscan Pharmacy and Home Medical Supply St. Joseph

    • Durable Medical Equipment & Medical Supplies
    • Tacoma, WA
    • NPI 1902986904

    Member Of

    NPD member

Locations

265 N El Cielo Rd
Ste A101
Palm Springs, CA 92262
Phone (760) 320-8814

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
Marvin O'Quinn Individual Corporate Director Jan 1, 2021
Uli Han-Hsiang CHI Individual Corporate Director Apr 1, 2013
Commonspirit Health Organization, Englewood, CO 5% Or Greater Direct Ownership Interest Jan 1, 2011
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
Operational/Managerial Control Jan 1, 2011
Robert Lemon Individual Corporate Director Jan 1, 2021
David Nosacka Individual Corporate OfficerCfo Jul 5, 2021
W-2 Managing EmployeeCfo Jul 5, 2021
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.

  • Commonspirit Washington

    dba Franciscan Pharmacy Tacoma

    • Community/Retail Pharmacy
    • Tacoma, WA
    • NPI 1346588548

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Commonspirit Washington

    dba Franciscan Hospice and Palliative Care

    • Internal Medicine Physician
    • University Place, WA
    • NPI 1366472508

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Commonspirit Washington

    dba St Joseph Cardiothoracic Surgeons

    • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    • Gig Harbor, WA
    • NPI 1821363300

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Commonspirit Washington

    dba Franciscan Pharmacy and Home Medical Supply St. Joseph

    • Durable Medical Equipment & Medical Supplies
    • Tacoma, WA
    • NPI 1902986904

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Commonspirit Washington

    dba St Joseph Medical Center

    • General Acute Care Hospital
    • Tacoma, WA
    • NPI 1952309098

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Commonspirit Washington

    dba Palliative Medical Services

    • Internal Medicine Physician
    • Tacoma, WA
    • NPI 1972538312

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Gregg Stephen Meyer, M.D.
    • Internal Medicine Physician
    • Lebanon, NH
    • NPI 1811997927

    Corporate Director

    CMS ownership

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

Affiliated clinicians 417

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

View all 417

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1689672693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-1454",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911101454",
            "telephone_number": "253-573-7143",
            "fax_number": "253-573-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-396-6790",
            "fax_number": "253-396-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT CLARE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "WITTORF",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "509-551-5319"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "H-132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3300258",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ST. Clare Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST. Clare Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.