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ST. JOSEPH MEDICAL CENTER NPI 1952444978


NPI Information

NPI: 1952444978
Provider Name: ST. JOSEPH MEDICAL CENTER
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 50D0635738

Address:
2901 BRIDGEPORT WAY W STE 123
UNIVERSITY PLACE, WA
ZIP 98466
Phone: (253) 534-7033
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ST. JOSEPH MEDICAL CENTER is a long term care pharmacy pharmacy in University Place, WA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ST. JOSEPH MEDICAL CENTER NPI is 1952444978. The provider is registered as an organization entity type.

The provider's business location address is:

2901 BRIDGEPORT WAY W STE 123
UNIVERSITY PLACE, WA
ZIP 98466-614
Phone: (253) 534-7033
Fax: (253) 534-7012

The provider's authorized official is Mark Rake-marona .
The authorized official title is Director Of Hospice and has the following contact phone number (253) 234-7026.

The CLIA number assigned to this NPI record is 50D0635738 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyFL00058038WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16027973MEDICAIDWASHINGTON
24931196OTHERWASHINGTONNABP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.