Active NPI
Island Emergency Care Inc.
- Land Ambulance
- Vashon, WA
National Provider Identifier
1013903558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 17X22
- Legal business name
- ISLAND EMERGENCY CARE INC.
- Practice address
- 12412 SW Cove Rd
Vashon, WA 98070-3704 - Phone
- (206) 463-9671
- Fax
- (206) 463-6671
- NPI assigned
- Sep 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jolene M. Lamb
- Title
- Presidence
- Phone
- (206) 463-9671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 17X22 | WA | Primary |
Addresses
Primary practice location
12412 SW Cove Rd
Vashon, WA 98070-3704
Mailing address
PO Box 204
Vashon, WA 98070-0204
Phone (206) 463-9671
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9038134 | Medicaid | WA | |
| 51934 | Other | WA | LABOR & INDUSTRIES |
Other names 1
- IEC Ambulance
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013903558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 204",
"city": "VASHON",
"state": "WA",
"postal_code": "980700204",
"telephone_number": "206-463-9671",
"fax_number": "206-463-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12412 SW COVE RD",
"city": "VASHON",
"state": "WA",
"postal_code": "980703704",
"telephone_number": "206-463-9671",
"fax_number": "206-463-6671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND EMERGENCY CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LAMB",
"authorized_official_first_name": "JOLENE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENCE",
"authorized_official_telephone_number": "206-463-9671",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "17X22",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9038134",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "51934",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "IEC Ambulance",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vashon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.