Provider Demographics
NPI:1558123885
Name:CITY OF OLYMPIA
Entity Type:Organization
Organization Name:CITY OF OLYMPIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARES MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARENA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BELLOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-570-3716
Mailing Address - Street 1:100 EASTSIDE ST NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-4081
Mailing Address - Country:US
Mailing Address - Phone:360-570-3716
Mailing Address - Fax:
Practice Address - Street 1:100 EASTSIDE ST NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4081
Practice Address - Country:US
Practice Address - Phone:360-570-3716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No251K00000XAgenciesPublic Health or Welfare
No333300000XSuppliersEmergency Response System Companies