MULTICARE HEALTH SYSTEM
NPI 1497331243
Durable Medical Equipment & Medical Supplies in Bonney Lake, WA

NPI Status: Active since March 22, 2021

Contact Information

10004 204TH AVE E STE 3100
BONNEY LAKE, WA
ZIP 98391
Phone: (253) 987-7509

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 50D2172584
  • CLIA Cert. Type: Other - FREE STANDING ED
  • CLIA Exp. Date: 04-04-2028

About MULTICARE HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Multicare Health System, a provider established in Bonney Lake, Washington operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1497331243 assigned on March 2021. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Kelly Williams (Manager, Provider Data & Enrollment)

NPI
1497331243
Provider Name
MULTICARE HEALTH SYSTEM
Entity Type
Organization
Location Address
10004 204TH AVE E STE 3100 BONNEY LAKE, WA 98391
Location Phone
(253) 987-7509
Mailing Address
P.O. BOX 5299 MS: 737-3-PCON TACOMA, WA 98415
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2021
Last Update Date
03-22-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLY WILLIAMS

Authorized Official Title
MANAGER, PROVIDER DATA & ENROLLMENT
Authorized Official Phone
(253) 459-8009

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2172584
Facility Type
Other - FREE STANDING ED
Certificate Effective Date
September 25, 2019
Certificate Expiration Date
April 04, 2028
Laboratory Director
SARAH E. ROONEY
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Multicare Health System after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for MULTICARE HEALTH SYSTEM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497331243
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418763228
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 6 + 3 + 2 + 2 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1497331243 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871919662 SAMANTHA GUTHRIE
Individual
Massage Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 863-7510
1053807511 MEGAN HOFSTEDE DPT
Individual
Physical Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 863-7510
1245716349 ALEXANDER LIAM TYLER ATC
Individual
Specialist/Technologist (Athletic Trainer)10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 863-7510
1063882819 ALTHEA PARRY-CHILDERLEY PT
Individual
Physical Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 863-7510
1982249439 MELISSA KAYE CHARRON ATC
Individual
Specialist/Technologist (Athletic Trainer)10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 863-7510
1609487388 BRANDON ROADMAN DPT
Individual
Physical Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509
1154997302 KATHRYN FRANCES WIRE DPT
Individual
Physical Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509
1699343582 KAYLEE CAITLIN VINSON DPT
Individual
Physical Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509
1114666567 ROBYN STEVENSON LAT
Individual
Specialist/Technologist (Athletic Trainer)10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509
1265818504 PAYDEN HOUSER PT
Individual
Physical Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 863-7510
1518667443 MELINDA ROSE MONETTE DPT
Individual
Physical Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509
1215620315 WILLIAM JAMES COUSINS IV DPT
Individual
Physical Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509
1811769961 PAZ ZISMAN PT
Individual
Physical Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509
1952165136 ADDISON TAYLOR FREITAG DPT
Individual
Physical Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509
1467211243 NIHARIKA DANTULURI DPT
Individual
Physical Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509
1821847229 ANDRESSA DUARTE DE MENESES LMT
Individual
Massage Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509
1699505198 JENNIFER MARIE SONG-HOI BOUVAGNET DPT
Individual
Physical Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509
1235976291 JULIANNA HARDER DPT
Individual
Physical Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509
1730908542 STEPHEN ALFRED WESSENBERG PTA, BS, AS
Individual
Physical Therapy Assistant10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509
1588472641 DANIEL JAY SCHRADER LMT
Individual
Massage Therapist10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391
(253) 987-7509

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497331243, enumerated in the NPI registry as an "organization" on March 22, 2021

The provider is located at 10004 204th Ave E Ste 3100 Bonney Lake, Wa 98391 and the phone number is (253) 987-7509

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider's CLIA number is 50D2172584 for a "other - free standing ed" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on March 22, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.