NPIMap

Organization Active NPI

Franciscan Health System

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tacoma, WA
National Provider Identifier
1700220126
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
FRANCISCAN HEALTH SYSTEM
Practice address
5825 Tacoma Mall Blvd
Suite # 103
Tacoma, WA 98409-6906
Phone
(253) 573-7107
Fax
(253) 573-7059
NPI assigned
Apr 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Mr. Joseph W Wilczek
Title
Ceo
Phone
(253) 680-4002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

5825 Tacoma Mall Blvd
Suite # 103
Tacoma, WA 98409-6906

Mailing address

PO Box 31001-1462
Pasadena, CA 91110-1462
Phone (253) 573-7107

Other names 1

  • St Joseph Medical Center- South Dil Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1700220126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-1462",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911101462",
            "telephone_number": "253-573-7107",
            "fax_number": "253-573-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 TACOMA MALL BLVD",
            "address_2": "SUITE # 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096906",
            "telephone_number": "253-573-7107",
            "fax_number": "253-573-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "WILCZEK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-680-4002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Joseph Medical Center- South Dil",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.