Provider Demographics
NPI:1285488395
Name:SEATTLE FLEX CARE LLC
Entity type:Organization
Organization Name:SEATTLE FLEX CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FLEET MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:KIRUTHI
Authorized Official - Last Name:NJOROGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-202-4878
Mailing Address - Street 1:105 MARYSVILLE MALL
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-5500
Mailing Address - Country:US
Mailing Address - Phone:360-382-4072
Mailing Address - Fax:
Practice Address - Street 1:8510 10TH AVE W APT B309
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-1867
Practice Address - Country:US
Practice Address - Phone:360-202-4878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)