Provider Demographics
NPI:1346308301
Name:SAFEGARD SERVICES INC.
Entity Type:Organization
Organization Name:SAFEGARD SERVICES INC.
Other - Org Name:SAFEGARD TRAVEL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROD
Authorized Official - Middle Name:L
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-739-0700
Mailing Address - Street 1:14681 NE 95TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-2556
Mailing Address - Country:US
Mailing Address - Phone:425-739-0700
Mailing Address - Fax:425-883-1566
Practice Address - Street 1:14681 NE 95TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-2556
Practice Address - Country:US
Practice Address - Phone:425-739-0700
Practice Address - Fax:425-883-1566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601 711 831174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGFLU200001Medicare ID - Type Unspecified