Provider Demographics
NPI:1992229702
Name:FRANCISCAN CITY URGENT CARE SERVICES, PS
Entity type:Organization
Organization Name:FRANCISCAN CITY URGENT CARE SERVICES, PS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:R
Authorized Official - Last Name:ENCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-680-2187
Mailing Address - Street 1:1145 BROADWAY STE 1200
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-3524
Mailing Address - Country:US
Mailing Address - Phone:253-680-2187
Mailing Address - Fax:
Practice Address - Street 1:3900 SW ALASKA ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116
Practice Address - Country:US
Practice Address - Phone:206-201-0551
Practice Address - Fax:206-201-0552
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN CITY URGENT CARE SERVICES, PS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-02
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care