Provider Demographics
NPI:1538999388
Name:CITY OF SEATTLE
Entity type:Organization
Organization Name:CITY OF SEATTLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARAMEDIC CAPTAIN MEDICAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-661-7602
Mailing Address - Street 1:325 9TH AVENUE
Mailing Address - Street 2:ROOM 2CT99, BOX 359727
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-661-7602
Mailing Address - Fax:
Practice Address - Street 1:301 2ND AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2680
Practice Address - Country:US
Practice Address - Phone:206-386-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport