Healthcare Provider Details

I. General information

NPI: 1992638829
Provider Name (Legal Business Name): MAGNOLIA TRANSPORTATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2265 116TH AVE NE STE 110
BELLEVUE WA
98004-3012
US

IV. Provider business mailing address

2265 116TH AVE NE STE 110
BELLEVUE WA
98004-3012
US

V. Phone/Fax

Practice location:
  • Phone: 425-969-0281
  • Fax:
Mailing address:
  • Phone: 425-969-0281
  • Fax: 425-969-0286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: LANETTE R ISBELLE
Title or Position: CEO
Credential:
Phone: 253-335-3741