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NPI Code Detail

MEDICARE: WHATCOM MEDIC ONE

MEDICARE: WHATCOM MEDIC ONE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance37M01WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578547022
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHATCOM MEDIC ONE
Provider Business Mailing Address
First Line : PO BOX 35176
Second Line :
City : SEATTLE
State : WA
Zip : 98124-5176
Country : US
Telephone Number : 360-778-8400
Fax Number :
Provider Business Practice Location Address
First Line : 1800 BROADWAY
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-3133
Country : US
Telephone Number : 360-778-8400
Fax Number :
Authorized Official
Title or Position : ADMINISTRATIVE SERVICES MANAGER
Name : KRISTINE MILLER
Credential :
Telephone Number : 360-778-8400
Provider Enumeration Date : 11/29/2005
Last Update Date : 11/13/2024

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Directions to “WHATCOM MEDIC ONE ” Practice Location

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