Provider Demographics
NPI:1821133612
Name:TRI-MED TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:TRI-MED TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANLOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-448-1232
Mailing Address - Street 1:PO BOX 3473
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98009-3473
Mailing Address - Country:US
Mailing Address - Phone:888-448-1232
Mailing Address - Fax:206-243-0756
Practice Address - Street 1:18821 E VALLEY HWY
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-1219
Practice Address - Country:US
Practice Address - Phone:888-448-1232
Practice Address - Fax:206-243-0756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)