Provider Demographics
NPI:1124881289
Name:MERCY 1 TRANSPORTATION, INC.
Entity type:Organization
Organization Name:MERCY 1 TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSIE
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:ELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-896-5156
Mailing Address - Street 1:5406 NE 107TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6167
Mailing Address - Country:US
Mailing Address - Phone:360-896-5156
Mailing Address - Fax:360-883-5561
Practice Address - Street 1:5406 NE 107TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6167
Practice Address - Country:US
Practice Address - Phone:360-896-5156
Practice Address - Fax:360-883-5561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)