NPI Code Details Logo

NPI 1760761795

NPI 1760761795 : PROTECTION-1 LLC : QUINCY, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760761795
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PROTECTION-1 LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/08/2011
-----------------------------------------------------
    Last Update Date     |    08/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    111 CENTRAL AVE N 
-----------------------------------------------------
    City                 |    QUINCY
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98848
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    425-218-3009
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 1718 
-----------------------------------------------------
    City                 |    QUINCY
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98848-2153
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    425-218-3009
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     LESLIE  SIEBERT 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    425-218-3009
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    341600000X
-----------------------------------------------------
    Taxonomy Name        |    Ambulance
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    3416L0300X
-----------------------------------------------------
    Taxonomy Name        |    Land Ambulance
-----------------------------------------------------
    License Number       |    AMBV.ES.60231631
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.