Organization Active NPI

City of Pasco

  • Land Ambulance
  • Pasco, WA
National Provider Identifier
1043340045
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
11M02 Issued in WA
Legal business name
CITY OF PASCO
Practice address
525 N 3Rd Ave
Pasco, WA 99301-5320
Phone
(509) 544-3066
Fax
(509) 544-3082
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Anna Stroben
Title
Accounting Supervisor
Phone
(509) 545-3428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 11M02 WA Primary

Addresses

Primary practice location

525 N 3Rd Ave
Pasco, WA 99301-5320

Mailing address

525 N 3Rd Ave
Pasco, WA 99301-5320
Phone (509) 544-3066

Other identifiers 1

IdentifierTypeStateIssuer
9153206MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060503000238 WA Part B Supplier - Ambulance Service Supplier 7810907029 Practice locations: Pasco, WA

National Provider Directory

National Provider Directory

Locations

412 W Clark St
Pasco, WA 99301
Phone (509) 460-4200

525 N 3rd Ave
Pasco, WA 99301
Phone (509) 544-3066

7510 Sandifur Pkwy
Pasco, WA 99301
Phone (509) 545-3426

4920 W Court St
Pasco, WA 99301
Phone (509) 543-5730

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1043340045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N 3RD AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015320",
            "telephone_number": "509-544-3066",
            "fax_number": "509-544-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N 3RD AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015320",
            "telephone_number": "509-544-3066",
            "fax_number": "509-544-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PASCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "STROBEN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ACCOUNTING SUPERVISOR",
        "authorized_official_telephone_number": "509-545-3428"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "11M02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9153206",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.