| St. Pat's - Fbh System | |
|
1001 N J St Tacoma WA 98403 | |
| (532) 761-3898 | |
| (532) 830-6243 |
| Full Name | St. Pat's - Fbh System |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1001 N J St, Tacoma, Washington |
| Authorized Official Name and Position | Stephanie M. Thelen (COMPLIANCE & POLICY ANALYST) |
| Authorized Official Contact | 2537613898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Pat's - Fbh System 1001 N J St Tacoma WA 98403-2125 Ph: (532) 761-3898 | St. Pat's - Fbh System 1001 N J St Tacoma WA 98403 Ph: (532) 761-3898 |
| NPI Number | 1093864589 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 03/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093864589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 76 (Washington) | Primary |
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