Provider Demographics
NPI:1306292545
Name:AAG SERVICES COMPANY, LLC
Entity type:Organization
Organization Name:AAG SERVICES COMPANY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:AUDIE
Authorized Official - Last Name:GONIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-877-8117
Mailing Address - Street 1:PO BOX 2683
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98083
Mailing Address - Country:US
Mailing Address - Phone:877-224-4884
Mailing Address - Fax:425-424-0088
Practice Address - Street 1:18416 38TH DR SE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012
Practice Address - Country:US
Practice Address - Phone:877-224-4884
Practice Address - Fax:425-424-0088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)