Organization
CASCADE AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES D FUITEN PRESIDENT (OWNER)
(503) 648-6656
Entity
Organization
Contact information
Practice address
1482 SLATER RD STE A, FERNDALE, WA 98248-8919
(360) 380-3144
(360) 380-2117
Mailing address
1482 SLATER RD STE A, FERNDALE, WA 98248-8919
(360) 380-3144
(360) 380-2117
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3416L0300X
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042997
LABOR & INDUSTRIES
WA
01
—
590008018
RAIL ROAD MEDICARE
WA
05
—
9035965
—
WA
Enumeration date
04/12/2007
Last updated
02/15/2024
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