Healthcare Provider Details

I. General information

NPI: 1588402101
Provider Name (Legal Business Name): CITY OF OLYMPIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EASTSIDE ST NE
OLYMPIA WA
98506-4081
US

IV. Provider business mailing address

100 EASTSIDE ST NE
OLYMPIA WA
98506-4081
US

V. Phone/Fax

Practice location:
  • Phone: 360-570-3716
  • Fax:
Mailing address:
  • Phone: 360-570-3716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: STEVEN J BURNEY
Title or Position: CITY MANAGER, CITY OF OLYMPIA WA
Credential: ICMA-CM
Phone: 360-753-8740