Provider Demographics
NPI: | 1598019093 |
---|---|
Name: | SINGULARITY MEDICAL TRANSPORT SERVICES, LLC |
Entity type: | Organization |
Organization Name: | SINGULARITY MEDICAL TRANSPORT SERVICES, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO/PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JEFFREY |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | HAMMOCK |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 206-852-2183 |
Mailing Address - Street 1: | PO BOX 3510 |
Mailing Address - Street 2: | |
Mailing Address - City: | SILVERDALE |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 98383-3510 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 360-394-7030 |
Mailing Address - Fax: | 360-394-7097 |
Practice Address - Street 1: | 4035 FAUNTLEROY WAY SW |
Practice Address - Street 2: | |
Practice Address - City: | SEATTLE |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98126-2608 |
Practice Address - Country: | US |
Practice Address - Phone: | 206-852-2183 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-11-05 |
Last Update Date: | 2013-03-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
WA | 17X30 | 3416L0300X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3416L0300X | Transportation Services | Ambulance | Land Transport |