Healthcare Provider Details

I. General information

NPI: 1699760892
Provider Name (Legal Business Name): TRI-MED AMBULANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18821 E VALLEY HIGHWAY
KENT WA
98032
US

IV. Provider business mailing address

PO BOX 84671
SEATTLE WA
98124-5971
US

V. Phone/Fax

Practice location:
  • Phone: 888-448-1232
  • Fax: 206-243-0756
Mailing address:
  • Phone: 425-656-4255
  • Fax: 425-656-4003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number17X24
License Number StateWA

VIII. Authorized Official

Name: MATTHEW GAU
Title or Position: PRESIDENT
Credential:
Phone: 206-450-2353