Organization
BAINBRIDGE ISLAND AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENA BEYKE (MEDICAL SERVICES OFFICER)
(206) 842-2676
Entity
Organization
Contact information
Practice address
911 HILDEBRAND LN NE, SUITE 104, BAINBRIDGE ISLAND, WA 98110-2859
(206) 842-2676
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7030
(360) 394-7097
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
18X01
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089673
L&I AND CRIME VICTIMS
WA
01
—
590161198
RAILROAD MEDICARE PTAN
WA
05
—
806978000
—
ID
05
—
9145400
—
WA
01
—
BA1537
REGENCE
WA
05
—
XMTE06444
—
CA
Enumeration date
02/06/2006
Last updated
11/02/2012
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