Provider Demographics
NPI:1770923898
Name:CITY OF RENTON
Entity type:Organization
Organization Name:CITY OF RENTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE SVC ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-430-6858
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:360-394-7023
Mailing Address - Fax:360-394-7097
Practice Address - Street 1:1055 S GRADY WAY
Practice Address - Street 2:FINANCE
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3232
Practice Address - Country:US
Practice Address - Phone:425-430-6858
Practice Address - Fax:425-430-6957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-03
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA17M143416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8922157Medicare PIN