Organization Active NPI

Airlift Northwest

  • Air Ambulance
  • Seattle, WA
National Provider Identifier
1316920580
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
42X01 Issued in WA
Legal business name
AIRLIFT NORTHWEST
Practice address
6987 Perimeter Rd S
Suite 110
Seattle, WA 98108-3847
Phone
(206) 965-1900
Fax
(206) 521-1612
NPI assigned
Nov 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Michael M Copass, MD
Title
Medical Director
Phone
(206) 965-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 42X01 WA Primary

Addresses

Primary practice location

6987 Perimeter Rd S
Suite 110
Seattle, WA 98108-3847

Mailing address

6987 Perimeter Rd S
Suite 110
Seattle, WA 98108-3847
Phone (206) 965-1900

Other identifiers 6

IdentifierTypeStateIssuer
XMT004690MedicaidCA
820127MedicaidAZ
AA2293MedicaidAK
262945MedicaidOR
0441643MedicaidMT
9028275MedicaidWA

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1890 Renshaw Way
Juneau, AK 99801
Phone (907) 790-4944

File 31079
San Francisco, CA 94160

6987 Perimeter Rd S
Ste 110
Seattle, WA 98108
Phone (206) 521-1599

6987 Perimeter Rd S
Seattle, WA 98108
Phone (206) 521-1599

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1316920580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6987 PERIMETER RD S",
            "address_2": "SUITE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981083847",
            "telephone_number": "206-965-1900",
            "fax_number": "206-521-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6987 PERIMETER RD S",
            "address_2": "SUITE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981083847",
            "telephone_number": "206-965-1900",
            "fax_number": "206-521-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRLIFT NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "COPASS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "206-965-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "WA",
            "license": "42X01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XMT004690",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820127",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AA2293",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262945",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441643",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9028275",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.