Fountain of Life Center – Voluntary or Charitable Agency, NPI 1558672329

Fountain of Life Center is a healthcare provider. based in Puyallup, Washington. specializing in Voluntary or Charitable Agency. The organization holds a License No. 602786502 (WA). The NPI Number for Fountain of Life Center is 1558672329

Main info

Organization
Name
Fountain of Life Center
NPI
1558672329
Phone
(253) 380-5263
Address
14010 68TH AVE E
Authorized Official
BRENDA MILEWSKI EXECUTIVE DIRECTOR
Enumeration Date
27 June 2010
Last Update Date
27 June 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness80
Years active:15State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Fountain of Life Center

  • 14010 68TH AVE E

    PUYALLUP, WA 983738706

    Phone: (253) 380-5263

    Type: Mailing

  • 1314 72ND ST E

    TACOMA, WA 984043343

    Phone: (253) 380-5263

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98373)

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Reviews

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Frequently asked questions

How is Fountain of Life Center identified in CMS data?
CMS-hosted NPPES data lists Fountain of Life Center with NPI 1558672329.
Does the file indicate Fountain of Life Center is practicing under active NPI?
Directory data currently reports Fountain of Life Center as active.
What is Fountain of Life Center's primary classification?
Voluntary or Charitable Agency is the headline specialty for Fountain of Life Center here. Clinical services aligned with this taxonomy classification.
Where is Fountain of Life Center based?
Fountain of Life Center is tied to Puyallup, Washington in the data we show; additional addresses may exist on the full record.
Why does Fountain of Life Center have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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