City of Kirkland

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

17M09 Issued in WA

Legal business name

CITY OF KIRKLAND

Practice address

123 5TH Ave
Kirkland, WA 98033-6121

Phone

(425) 587-3115

Fax

(425) 587-3664

NPI assigned

Oct 28, 2010

Organization subpart

No

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

Authorized official

Name

Michael Olson

Title

Director of Finance and Administrat

Phone

(425) 587-3146

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Tax ID family

City of Kirkland2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City of Kirkland

  • Prison Health Clinic/Center
  • Kirkland, WA
  • NPI 1609741396
  NPD tax ID

Locations

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1801196472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 5TH AVE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336121",
            "telephone_number": "425-587-3115",
            "fax_number": "425-587-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 5TH AVE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336121",
            "telephone_number": "425-587-3115",
            "fax_number": "425-587-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KIRKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE AND ADMINISTRAT",
        "authorized_official_telephone_number": "425-587-3146"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "17M09",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE EMS LICENSE",
            "identifier": "17M09",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Cimino
• Cindy Chau Ha PLLC
• Lucia Cinek
• Isabella Cisneros
• City of Kirkland
• Cityscript Pharmacy LLC
• Ava M Clancy
• Tim A Clanton, DC
• Clairemarie Clark, PH.D.
• Denise Michelle Clark, OTR CHT

• Land Ambulance in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.