Healthcare Provider Details

I. General information

NPI: 1821133612
Provider Name (Legal Business Name): TRI-MED TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18821 E VALLEY HWY
KENT WA
98032-1219
US

IV. Provider business mailing address

PO BOX 3473
BELLEVUE WA
98009-3473
US

V. Phone/Fax

Practice location:
  • Phone: 888-448-1232
  • Fax: 206-243-0756
Mailing address:
  • Phone: 888-448-1232
  • Fax: 206-243-0756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JAYNE MANLOWE
Title or Position: CO OWNER
Credential:
Phone: 888-448-1232