Healthcare Provider Details

I. General information

NPI: 1144297938
Provider Name (Legal Business Name): CITY OF ABERDEEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 WEST MARKET STREET
ABERDEEN WA
98520-5915
US

IV. Provider business mailing address

200 EAST MARKET STREET
ABERDEEN WA
98520-5207
US

V. Phone/Fax

Practice location:
  • Phone: 360-537-3283
  • Fax: 360-532-1254
Mailing address:
  • Phone: 360-533-4100
  • Fax: 360-537-5741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID L GOLDING
Title or Position: ASSISTANT CHIEF CITY OF ABERDEEN FI
Credential:
Phone: 360-537-3264