Va Puget Sound Health Care System
Psychiatric Hospital in Tacoma, WA. Organization (NPI-2).
NPI number1083676340
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1083676340
- Entity type
- Organization (NPI-2)
- Legal business name
- Va Puget Sound Health Care System
- Organization subpart
- No
- Enumeration date
- Apr 3, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283Q00000X | Psychiatric Hospital | PA10002879 | WA | Yes |
Practice location
Va Puget Sound Health Care System, American Lake D9600 Veterans Drive Sw
Tacoma, WA 98493-0001
Phone 253-582-8440
Mailing address
4015 244th Street Ct ESpanaway, WA 98387-7009
Phone 253-847-6116
Authorized official
Glenn Perry Ehlig
Physician Assistant
2535828440
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