Provider Demographics
NPI:1982042115
Name:PUGET EXPRESS LLC
Entity Type:Organization
Organization Name:PUGET EXPRESS LLC
Other - Org Name:SEATTLE PARATRANSIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FIKRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-466-5331
Mailing Address - Street 1:3800 S 176TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98188-4152
Mailing Address - Country:US
Mailing Address - Phone:206-687-8804
Mailing Address - Fax:
Practice Address - Street 1:3800 S 176TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98188-4152
Practice Address - Country:US
Practice Address - Phone:206-687-8804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PUGET EXPRESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603103025343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)