Active NPI
City of Aberdeen
- Ambulance
- Aberdeen, WA
National Provider Identifier
1144297938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9257106 | Medicaid | WA | |
| 0026722 | Other | WA | LABOR & INDUSTRIES |
| 590161382 | Other | WA | RAILROAD MEDICARE |
Other names 1
- City of Aberdeen Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100205000538 | WA | Part B Supplier - Ambulance Service Supplier | 4486797990 | Practice locations: Aberdeen, WA |
National Provider Directory
National Provider Directory- Tax ID family
- City of Aberdeen
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prison Health Clinic/Center
- Aberdeen, WA
- NPI 1114815008
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.