| Organization Name: | CITY OF SEDRO WOOLLEY |
| NPI Number: | 1093113300 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERON M BERG (CITY SUPERVISOR) |
| Mailing Address: | 325 Metcalf St Sedro Woolley |
| State: | WA US |
| Postal Code: | 982841007 |
| Phone Number: | 3608551661 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2014 |
| NPI Last Update Date: | 05/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 29M09 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |