Organization Active NPI

Newport Emergency Services Inc

Doing business as Newport Ambulance

  • Land Ambulance
  • Oldtown, ID
National Provider Identifier
1023332392
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
26X02 Issued in WA
Legal business name
NEWPORT EMERGENCY SERVICES INC
Doing business as
Newport Ambulance
Practice address
203 E 4TH St N
Oldtown, ID 83822-9546
Phone
(509) 447-4108
Fax
(208) 437-0886
NPI assigned
Mar 16, 2010
Last updated
Dec 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Mr. Steven C Groom
Title
Ceo
Phone
(509) 447-4108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 26X02 WA Primary

Addresses

Primary practice location

203 E 4TH St N
Oldtown, ID 83822-9546

Mailing address

203 E 4TH St N
Oldtown, ID 83822-9546
Phone (509) 447-4108

Other names 1

  • Newport Ambulance Doing business as

National Provider Directory

National Provider Directory

Locations

203 E 4th St N
Oldtown, ID 83822
Phone (208) 437-0884

117 S Washington Ave
Newport, WA 99156
Phone (509) 447-4108

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1023332392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E 4TH ST N",
            "city": "OLDTOWN",
            "state": "ID",
            "postal_code": "838229546",
            "telephone_number": "509-447-4108",
            "fax_number": "208-437-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E 4TH ST N",
            "city": "OLDTOWN",
            "state": "ID",
            "postal_code": "838229546",
            "telephone_number": "509-447-4108",
            "fax_number": "208-437-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT EMERGENCY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "GROOM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-447-4108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "26X02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oldtown, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.