CITY OF MOUNTLAKE TERRACE NPI 1215903778

NPI Information

NPI: 1215903778
Provider Name: CITY OF MOUNTLAKE TERRACE

Other Name: MOUNTLAKE TERRACE FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
12310 MERIDIAN AVE S
EVERETT, WA
ZIP 98208
Phone: (425) 551-1200
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CITY OF MOUNTLAKE TERRACE is a land transport ambulance in Everett, WA. CITY OF MOUNTLAKE TERRACE NPI is 1215903778. The provider is registered as an organization entity type.
The provider Other Name Is Mountlake Terrace Fire Department.

The provider's business location address is:

12310 MERIDIAN AVE S
EVERETT, WA
ZIP 98208-764
Phone: (425) 551-1200

The provider's authorized official is Ed Widdis .
The authorized official title is Fire Chief and has the following contact phone number (425) 551-1200.

The enumeration date for this NPI number is 2/24/2006 and was last updated on 10/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	31M10	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MO3655	OTHER	WASHINGTON	REGENCE
2	9046400	MEDICAID	WASHINGTON
3	8923187	OTHER	WASHINGTON	CRIME VICTIMS
4	126918	OTHER	WASHINGTON	LABOR & INDUSTRIES
5	GAB08689	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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