Organization Active NPI

City of Aberdeen

  • Ambulance
  • Aberdeen, WA
National Provider Identifier
1144297938
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF ABERDEEN
Practice address
700 West Market Street
Aberdeen, WA 98520-5915
Phone
(360) 537-3283
Fax
(360) 532-1254
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Mr. David L Golding
Title
Assistant Chief City of Aberdeen Fi
Phone
(360) 537-3264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

700 West Market Street
Aberdeen, WA 98520-5915

Mailing address

200 East Market Street
Aberdeen, WA 98520-5207
Phone (360) 533-4100

Other identifiers 3

IdentifierTypeStateIssuer
9257106MedicaidWA
0026722OtherWALABOR & INDUSTRIES
590161382OtherWARAILROAD MEDICARE

Other names 1

  • City of Aberdeen Ambulance Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100205000538 WA Part B Supplier - Ambulance Service Supplier 4486797990 Practice locations: Aberdeen, WA

National Provider Directory

National Provider Directory
Tax ID family
City of Aberdeen2 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.

Locations

700 W Market St
Aberdeen, WA 98520
Phone (360) 537-3261

200 E Market St
Aberdeen, WA 98520
Phone (360) 533-4100

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1144297938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAST MARKET STREET",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985205207",
            "telephone_number": "360-533-4100",
            "fax_number": "360-537-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WEST MARKET STREET",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985205915",
            "telephone_number": "360-537-3283",
            "fax_number": "360-532-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ABERDEEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "GOLDING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT CHIEF CITY OF ABERDEEN FI",
        "authorized_official_telephone_number": "360-537-3264",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9257106",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0026722",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590161382",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Aberdeen Ambulance",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "City of Aberdeen Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.