MEDICARE: TRI-MED AMBULANCE LLC

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
1	341600000X	Ambulance	17X24	WA

Other Identifiers

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

General Provider Information

NPI Number	:	1699760892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI-MED AMBULANCE LLC

Provider Business Mailing Address
First Line	:	PO BOX 84671
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-5971
Country	:	US
Telephone Number	:	425-656-4255
Fax Number	:	425-656-4003

Provider Business Practice Location Address
First Line	:	18821 E VALLEY HIGHWAY
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98032
Country	:	US
Telephone Number	:	888-448-1232
Fax Number	:	206-243-0756

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MATTHEW GAU
Credential	:
Telephone Number	:	206-450-2353

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	09/04/2025

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