Active NPI
Airlift Northwest
- Air Ambulance
- Seattle, WA
National Provider Identifier
1316920580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- 42X01
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XMT004690 | Medicaid | CA | |
| 820127 | Medicaid | AZ | |
| AA2293 | Medicaid | AK | |
| 262945 | Medicaid | OR | |
| 0441643 | Medicaid | MT | |
| 9028275 | Medicaid | WA |
National Provider Directory
National Provider DirectoryMember 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.