NPIMap

Organization Active NPI

Stevens County

  • Land Ambulance
  • Colville, WA
National Provider Identifier
1104970268
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
33X01 Issued in WA
Legal business name
STEVENS COUNTY
Practice address
425 N Highway
Colville, WA 99114-2139
Phone
(509) 684-8261
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
William D Buscher
Title
Operations Manager
Phone
(509) 684-8261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 33X01 WA Primary

Addresses

Primary practice location

425 N Highway
Colville, WA 99114-2139

Mailing address

425 N Highway
Colville, WA 99114-2139
Phone (509) 684-8261

Other identifiers 2

IdentifierTypeStateIssuer
029641OtherWALABOR & INDUSTRIES
9256900MedicaidWA

Other names 1

  • Stevens County Sheriff's Ambulance Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100917000484 WA Part B Supplier - Ambulance Service Supplier 2466349394 Practice locations: Colville, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Stevens County Counseli8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

425 North Highway
Colville, WA 99114
Phone (509) 684-8261

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1104970268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N HIGHWAY",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142139",
            "telephone_number": "509-684-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N HIGHWAY",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142139",
            "telephone_number": "509-684-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "BUSCHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "509-684-8261"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "33X01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "029641",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9256900",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevens County Sheriff's Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.