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NPI Code Detail

MEDICARE: CASCADE AMBULANCE SERVICE, INC

MEDICARE: CASCADE AMBULANCE SERVICE, INC
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 Ambulance3416L0300XWA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1590008018OTHERWARAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30042997OTHERWALABOR & INDUSTRIES

General Provider Information

NPI Number : 1578787685
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASCADE AMBULANCE SERVICE, INC
Provider Business Mailing Address
First Line : 1482 SLATER RD STE A
Second Line :
City : FERNDALE
State : WA
Zip : 98248-8919
Country : US
Telephone Number : 360-380-3144
Fax Number : 360-380-2117
Provider Business Practice Location Address
First Line : 1482 SLATER RD STE A
Second Line :
City : FERNDALE
State : WA
Zip : 98248-8919
Country : US
Telephone Number : 360-380-3144
Fax Number : 360-380-2117
Authorized Official
Title or Position : OWNER
Name : MR. JAMES D FUITEN
Credential : PRESIDENT
Telephone Number : 503-648-6656
Provider Enumeration Date : 04/12/2007
Last Update Date : 02/15/2024

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Directions to “CASCADE AMBULANCE SERVICE, INC ” Practice Location

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