A Puget Sound Cabulance Service LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

B11022C Issued in WA

Legal business name

A PUGET SOUND CABULANCE SERVICE LLC

Practice address

13319 1St Ave NE
Seattle, WA 98125-3006

Phone

(206) 365-3121

Fax

(206) 365-0253

NPI assigned

Nov 28, 2009

Organization subpart

No

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

Authorized official

Name

Kim Havok

Title

Accountant

Phone

(206) 365-3121

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1259366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259366400000",
    "number": "1437487642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13319 1ST AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253006",
            "telephone_number": "206-365-3121",
            "fax_number": "206-365-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13319 1ST AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253006",
            "telephone_number": "206-365-3121",
            "fax_number": "206-365-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PUGET SOUND CABULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-28",
        "last_updated": "2009-11-28",
        "status": "A",
        "authorized_official_last_name": "HAVOK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "206-365-3121"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WA",
            "license": "B11022C",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WA",
            "license": "B11021C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Seattle, WA
• Non-emergency Medical Transport (VAN) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2009; 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.