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Multicare Health System

Organization Active NPI Pediatrics Physician · Olympia, WA

NPI 1831609775 · NPPES record last updated Oct 5, 2017

Key facts

NPI
1831609775
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
MULTICARE HEALTH SYSTEM
Practice address
1920 Black Lake Blvd SW
Olympia, WA 98512-5651
Phone
(360) 534-9222
NPI assigned
Oct 5, 2017
Organization subpart
No

Authorized official

Name
Anna Loomis
Title
Sr VP-Chief Financial Office
Phone
(253) 403-8020

Corporate family (same tax ID) 24

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

Practitioners 212

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

View all 212

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031105000760 WA Part B Supplier - Clinic/Group Practice 7719899897 Receives reassigned benefits from 4,909 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Covington Urgent Care C (99 organizations share this tax ID)

Locations

1920 Black Lake Blvd SW
Olympia, WA 98512
Phone (360) 534-9222

19321 Mountain Hwy E
Ste 100
Spanaway, WA 98387
Phone (253) 846-8618

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

1920 Black Lake Blvd SW
Olympia, WA 98512-5651

Mailing address

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234

Other names

  • ABC Pediatrics by Mary Bridge Children's Doing business as

Other providers in Olympia, WA

All providers in Olympia, WA · Pediatrics Physician in Washington

Sources for this page

Verify at the official NPI Registry.