| NPI | 1306933940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WILLIAMS Manager, Provider Data & Enrollment 253-459-8009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-06-27 |