Pe Ell Ambulance Auxillary

LBN: Pe Ell Ambulance Auxillary
Pe Ell Ambulance Auxillary is an health care organization with primary practice located at 800 N Main St , Pe Ell WA 98572. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Pe Ell Ambulance Auxillary can be contacted via phone (360) 520-2046, or through Krafczyk, Michael via phone (360) 880-0036.

Contact Information

Primary practice address
800 N Main St Pe Ell WA 98572
Phone: (360) 520-2046
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Krafczyk, Michael
Phone: (360) 880-0036

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 21M05 Washington

Profile Details

NPI number 1780874511
LBN Legal business name Pe Ell Ambulance Auxillary
DBA Doing business as
Authorized official Krafczyk, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2007
Last updated Apr 1st, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780874511 NPPES
Washington Other 0239919 L&I AND CRIME VICTIMS
Washington Other P00840008 L&I AND CRIME VICTIMS
Washington MEDICAID 9062365 L&I AND CRIME VICTIMS

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