- Enrollment id
- O20050113001073
- Enrollment state
- WA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1366472508
- Multiple npi flag
- N
- Ccn
- 501526
- Associate id
- 1557254935
- Organization name
- COMMONSPIRIT WASHINGTON
- Doing business as name
- FRANCISCAN HOSPICE
- Incorporation date
- 1993-04-06
- Incorporation state
- WA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 2901 BRIDGEPORT WAY W
- City
- UNIVERSITY PLACE
- State
- WA
- Zip code
- 984664614