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MULTICARE HEALTH SYSTEM NPI 1831313253


NPI Information

NPI: 1831313253
Provider Name: MULTICARE HEALTH SYSTEM

Doing Business As: MARY BRIDGE NEURODEVELOPMENTAL PROGRAM

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
311 S L ST
TACOMA, WA
ZIP 98405
Phone: (253) 403-3707
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MULTICARE HEALTH SYSTEM is a developmental disabilities clinic center in Tacoma, WA. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). MULTICARE HEALTH SYSTEM NPI is 1831313253. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mary Bridge Neurodevelopmental Program.

The provider's business location address is:

311 S L ST
TACOMA, WA
ZIP 98405-720
Phone: (253) 403-3707

The provider's authorized official is Vince H Schmitz .
The authorized official title is Cfo and has the following contact phone number (253) 459-8000.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 5/14/2010.


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
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3231H00000XAudiologistNo
4235Z00000XSpeech-Language PathologistNo
5261Q00000XClinic/CenterNo
6261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
7261QC1500XClinic/CenterCommunity HealthNo
8261QE0002XClinic/CenterEmergency CareNo
9261QG0250XClinic/CenterGeneticsNo
10261QH0100XClinic/CenterHealth ServiceNo
11261QH0700XClinic/CenterHearing and SpeechNo
12261QI0500XClinic/CenterInfusion TherapyNo
13261QM2500XClinic/CenterMedical SpecialtyNo
14261QX0100XClinic/CenterOccupational MedicineNo
15261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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
17134133MEDICAIDWASHINGTON

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

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