MARY BRIDGE CHILDREN'S HOSPITAL (NPI# 1063739936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063739936 |
| Entity Type | Organization |
| Organization Name | MARY BRIDGE CHILDREN'S HOSPITAL |
| Practice Address |
317 Martin Luther King Jr Way Tacoma WA 98405-4234 |
| Practice Telephone | 2534031420 |
| Mailing Telephone | 2534031420 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |
| Authorized Official Name | VINCET H SCHMITZ (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2534598000 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC2000X |
General Acute Care Hospital Specialization: Children |
Hospitals | ||
| N | 283XC2000X |
Rehabilitation Hospital Specialization: Children |
Hospitals | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARY BRIDGE CHILDREN'S HOSPITAL | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 |
| Street Address |
317 MARTIN LUTHER KING JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720057300 | Elizabeth Nuhn Hasert | Pediatrics | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2006-03-16 |
| 1598381709 | Rachel Barrett | Dietitian, Registered | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-06-23 |
| 1295367886 | Melissa C Pettini | Registered Nurse | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-02-11 |
| 1124513718 | Katrina Lynn Sterling | Registered Nurse | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2018-06-26 |
| 1699263764 | Cheyenne Dewey | Genetic Counselor, MS | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2018-04-24 |
| 1386187151 | Heidi Kathleen Vladyka | Occupational Therapist | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2016-11-28 |
| 1215309414 | Molly Rooy | Dietitian, Registered | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2015-10-27 |
| 1730573478 | Luke Warnken | Specialist/Technologist | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2015-03-19 |
| 1821391210 | Jodi Sacken | Physician Assistant | 317 Martin Luther King Jr Way, Tacoma, WA 98405 | 2010-12-07 |
| 1255652731 | Ashley T Jones | Pediatrics | 317 Martin Luther King Jr Way, Mary Bridge Children's Hospital, Tacoma, WA 98405 | 2010-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095299 | Health First Home Health Care, Inc. | Durable Medical Equipment & Medical Supplies | 15 Oregon Ave Ste L1, Tacoma, WA 98409-7411 | 2019-10-24 |
| 1720555808 | Elite Medical Inc | Durable Medical Equipment & Medical Supplies | 6002 Westgate Blvd Ste 272, Tacoma, WA 98406-2571 | 2018-10-26 |
| 1033621479 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 N Tacoma Ave Ste 101, Tacoma, WA 98403-3131 | 2017-10-25 |
| 1316482938 | Donald Joseph Dougherty Jr. | Durable Medical Equipment & Medical Supplies | 8411 Pacific Hwy E, Tacoma, WA 98422-3915 | 2017-01-05 |
| 1083006969 | Olympia Respiratory Services, LLC | Durable Medical Equipment & Medical Supplies | 1310 S Union Ave Ste B1, Tacoma, WA 98405-1907 | 2015-03-02 |
| 1487911665 | Robert Earl Stam Jr. | Durable Medical Equipment & Medical Supplies | 5510 6th Ave, Suite C, Tacoma, WA 98406-2646 | 2012-04-12 |
| 1801194618 | Ronaele | Durable Medical Equipment & Medical Supplies | 8632 S Asotin St, Tacoma, WA 98444-3174 | 2011-03-02 |
| 1255667291 | Security Management and Integration Company, Inc. | Durable Medical Equipment & Medical Supplies | 1423 E 29th St, Suite 317, Tacoma, WA 98404-4008 | 2009-10-27 |
| 1760615538 | Sound Sleep Solutions | Durable Medical Equipment & Medical Supplies | 2201 S 19th St Ste 207, Tacoma, WA 98405-2961 | 2009-08-27 |
| 1821252701 | Wheelchair Works Inc | Durable Medical Equipment & Medical Supplies | 11106 25th Ave E, Ste A, Tacoma, WA 98445-5300 | 2008-07-10 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.