Organization Active NPI

KLDW Enterprises LLC

  • Non-emergency Medical Transport (VAN)
  • Mount Vernon, WA
National Provider Identifier
1255726873
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
KLDW ENTERPRISES LLC
Doing business as
Western Van Service
Practice address
1320 S 13TH St
Mount Vernon, WA 98274-5104
Phone
(360) 661-6004
Fax
(360) 423-4912
NPI assigned
Mar 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda J Smith
Title
Vice President
Phone
(360) 466-8808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X WA Primary

Addresses

Primary practice location

1320 S 13TH St
Mount Vernon, WA 98274-5104

Mailing address

1320 S 13TH St
Mount Vernon, WA 98274-5104
Phone (360) 661-6004

Other names 1

  • Western Van Service Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1255726873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 S 13TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982745104",
            "telephone_number": "360-661-6004",
            "fax_number": "360-423-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S 13TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982745104",
            "telephone_number": "360-661-6004",
            "fax_number": "360-423-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLDW ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "360-466-8808"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Van Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.