NPI 1417949892

Good Samaritan Hospital

Organisation Home Infusion Agency Puyallup, WA

Practice location

Address: 1317 E Main, Puyallup, WA 98372-3136
Phone: (253) 697-7600
Fax: (253) 691-9598
Mailing address: PO Box 1247, Puyallup, WA 98371-0192

Authorised official

Name: Ken McKinney
Title: Director
Phone: (253) 697-7600

Registered specialties

Home Infusion Agency Primary

Agencies Taxonomy 251F00000X Licence IS302 (WA)

Other Home Infusion providers in Washington →

Registry record

NPI: 1417949892
Entity type: Organization
NPI issued: 22 Aug 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.