Organization Active NPI

Island Emergency Care Inc.

  • Land Ambulance
  • Vashon, WA
National Provider Identifier
1013903558
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
17X22 Issued in WA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9038134MedicaidWA
51934OtherWALABOR & INDUSTRIES

Other names 1

  • IEC Ambulance Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.