Organization Active NPI

Medlaw Confidential PLLC

  • Land Ambulance
  • Port Townsend, WA
National Provider Identifier
1922215714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
16X05 Issued in WA
Legal business name
MEDLAW CONFIDENTIAL PLLC
Doing business as
LifeLink
Practice address
824 Grant St
Suite 5
Port Townsend, WA 98368-2477
Phone
(360) 385-0812
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Greg Walsh, CRITICAL CARE PM
Title
Manager, Chief Paramedic
Phone
(360) 385-0812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 16X05 WA Primary

Addresses

Primary practice location

824 Grant St
Suite 5
Port Townsend, WA 98368-2477

Mailing address

PO Box 1922
Port Townsend, WA 98368-0064
Phone (360) 385-0812

Other identifiers 2

IdentifierTypeStateIssuer
0176344OtherWALABOR & INDUSTRIES PIN
9054578MedicaidWA

Other names 1

  • LifeLink 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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922215714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1922",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983680064",
            "telephone_number": "360-385-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 GRANT ST",
            "address_2": "SUITE 5",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682477",
            "telephone_number": "360-385-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLAW CONFIDENTIAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MANAGER, CHIEF PARAMEDIC",
        "authorized_official_telephone_number": "360-385-0812",
        "authorized_official_credential": "CRITICAL CARE PM"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "16X05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES PIN",
            "identifier": "0176344",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9054578",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeLink",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.