Organization
A PUGET SOUND CABULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HAVOK (ACCOUNTANT)
(206) 365-3121
Entity
Organization
Contact information
Practice address
13319 1ST AVE NE, SEATTLE, WA 98125-3006
(206) 365-3121
(206) 365-0253
Mailing address
13319 1ST AVE NE, SEATTLE, WA 98125-3006
(206) 365-3121
(206) 365-0253
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
B11021C
WA
343900000X
Non-emergency Medical Transport (VAN)
Primary
B11022C
WA
Other
Enumeration date
11/28/2009
Last updated
11/28/2009
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