City of Ukiah

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF UKIAH

Practice address

1500 S State St
Ukiah, CA 95482-6709

Phone

(707) 462-7921

Fax

(707) 462-2938

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Doug Hutchison

Title

Fire Chief/Emt-P

Phone

(707) 463-6263

Specialties & licenses 1

Addresses

Other names 1

• Ukiah Valley Fire Authority Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• City of Ukiah

  • Land Ambulance
  • Ukiah, CA
  • NPI 1083613343

  O20120306000247

  Same enrollment

Tax ID family

City of Ukiah2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• City of Ukiah

  • Land Ambulance
  • Ukiah, CA
  • NPI 1083613343
  NPD tax ID

Locations

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1114560984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S STATE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826709",
            "telephone_number": "707-462-7921",
            "fax_number": "707-462-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S STATE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826709",
            "telephone_number": "707-462-7921",
            "fax_number": "707-462-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF UKIAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "FIRE CHIEF/EMT-P",
        "authorized_official_telephone_number": "707-463-6263"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ukiah Valley Fire Authority",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ukiah Valley Fire Authority",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenette Irene Christ, CMT
• Stephen Anthony Christensen, LMFT
• Brianna Alexis Marie Christian
• Edward Chung, PHARMD
• City of Ukiah
• Brenda Flynn Clark, LCSW
• Kelly Lynn Clark
• Nathan M Clark, D.C.
• Ashley Christina Clay
• Scott Douglas Claypool, FNP

• Land Ambulance in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.