Provider Demographics
NPI:1144297938
Name:CITY OF ABERDEEN
Entity type:Organization
Organization Name:CITY OF ABERDEEN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF CITY OF ABERDEEN FI
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:GOLDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-537-3264
Mailing Address - Street 1:200 EAST MARKET STREET
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-5207
Mailing Address - Country:US
Mailing Address - Phone:360-533-4100
Mailing Address - Fax:360-537-5741
Practice Address - Street 1:700 WEST MARKET STREET
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-5915
Practice Address - Country:US
Practice Address - Phone:360-537-3283
Practice Address - Fax:360-532-1254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9257106Medicaid
WA0026722OtherLABOR & INDUSTRIES
WA590161382OtherRAILROAD MEDICARE
WA590161382OtherRAILROAD MEDICARE