Organization
AIRLIFT NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL M COPASS MD (MEDICAL DIRECTOR)
(206) 965-1900
Entity
Organization
Contact information
Practice address
6987 PERIMETER RD S, SUITE 110, SEATTLE, WA 98108-3847
(206) 965-1900
(206) 521-1612
Mailing address
6987 PERIMETER RD S, SUITE 110, SEATTLE, WA 98108-3847
(206) 965-1900
(206) 521-1612
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
42X01
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441643
—
MT
05
—
262945
—
OR
05
—
820127
—
AZ
05
—
9028275
—
WA
05
—
AA2293
—
AK
05
—
XMT004690
—
CA
Enumeration date
11/22/2005
Last updated
10/19/2007
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