Healthcare Provider Details

I. General information

NPI: 1306701495
Provider Name (Legal Business Name): WHIDBEY ISLAND EMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N MAIN ST
COUPEVILLE WA
98239-3413
US

IV. Provider business mailing address

101 N MAIN ST
COUPEVILLE WA
98239-3413
US

V. Phone/Fax

Practice location:
  • Phone: 360-914-3193
  • Fax: 360-914-3199
Mailing address:
  • Phone: 360-914-3193
  • Fax: 360-914-3199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER TUMBLIN
Title or Position: EMS DIRECTOR
Credential: PARAMEDIC
Phone: 360-914-3193