Mid Columbia Ambulance LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MID COLUMBIA AMBULANCE LLC

Practice address

822 W John Day Ave
Kennewick, WA 99336-3577

Phone

(509) 586-6982

Fax

(509) 586-8314

NPI assigned

Nov 8, 2006

Last updated

Oct 17, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ken Egli

Title

Chief

Phone

(509) 586-6982

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1023188091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6718",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993360640",
            "telephone_number": "509-586-6982",
            "fax_number": "509-586-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 W JOHN DAY AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363577",
            "telephone_number": "509-586-6982",
            "fax_number": "509-586-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID COLUMBIA AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "EGLI",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "509-586-6982"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9056169",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BC",
            "identifier": "294920",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa K Meyers, LMP
• MH Health Care Services, PC (Pacific Health Coalition - Tri Cities)
• Michael E. Shannon, D.M.D., P.S.C. (Shannon Dental Health Center)
• Jeffrey Carl Michaelis
• Sophie Ann Michel
• Mid-Columbia Ear, Nose & Throat, P.L.L.C.
• Mid-Columbia Endoscopy Center, LLC
• Mid-Columbia Medical Associates
• Mid-Columbia Ultrasound LLC
• Kayla Miele Rooney

• Ambulance in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.