Provider Demographics
NPI:1841535721
Name:FALCK NORTHWEST CORP
Entity type:Organization
Organization Name:FALCK NORTHWEST CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:YANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEDOUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-288-3800
Mailing Address - Street 1:PO BOX 31001-2191
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91110-2191
Mailing Address - Country:US
Mailing Address - Phone:425-248-4100
Mailing Address - Fax:
Practice Address - Street 1:1790 FRONT ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-0720
Practice Address - Country:US
Practice Address - Phone:971-428-7397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FALCK USA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-04
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X, 3416L0300X
WAAMBV.ES.603042843416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAMBV.ES60304289OtherAMBULANCE SERVICE LICENSE
WAAMBV.ES60304284OtherAMBULANCE SERVICE LICENSE
WAAMBV.ES60304291OtherAMBULANCE SERVICE LICENSE