Waitsburg Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

36X03 Issued in WA

Legal business name

WAITSBURG AMBULANCE SERVICE

Practice address

765 Preston Ave
Waitsburg, WA 99361-7723

Phone

(509) 337-6149

Fax

(509) 337-6220

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Sharon Marie Brooks, AEMT

Title

Deputy Chief of Operations

Phone

(509) 337-6149

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1154305522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242",
            "city": "WAITSBURG",
            "state": "WA",
            "postal_code": "993610242",
            "telephone_number": "509-337-6149",
            "fax_number": "509-337-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 PRESTON AVE",
            "city": "WAITSBURG",
            "state": "WA",
            "postal_code": "993617723",
            "telephone_number": "509-337-6149",
            "fax_number": "509-337-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAITSBURG AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DEPUTY CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "509-337-6149",
        "authorized_official_credential": "AEMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "36X03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0166650",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9053349",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanguinity Mobile Medical
• Sanguinity Mobile Medical
• Glenn Arlin Silver, ARNP
• Kyle Rowley Terry, M.D.
• Andrea Sarah Villa, MA60969294
• Waitsburg Joint School District

• Land Ambulance in Waitsburg, WA
• Providers in Waitsburg, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.