Provider Demographics
NPI:1558836940
Name:CITY OF BURLINGTON
Entity type:Organization
Organization Name:CITY OF BURLINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:V
Authorized Official - Last Name:SEXTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-755-0531
Mailing Address - Street 1:833 S SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-2810
Mailing Address - Country:US
Mailing Address - Phone:360-755-0531
Mailing Address - Fax:
Practice Address - Street 1:350 E SHARON AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-2232
Practice Address - Country:US
Practice Address - Phone:360-755-0531
Practice Address - Fax:360-755-9565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA29M02OtherAMBULANCE LICENSE