City of Castle Rock

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

08M01 Issued in WA

Legal business name

CITY OF CASTLE ROCK

Practice address

146 A Street SW
Castle Rock, WA 98611

Phone

(360) 274-4413

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Eric Koreis

Title

Chief

Phone

(360) 274-4413

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Castle Rock Fire & EMS Other name

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1164490058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "986110370",
            "telephone_number": "360-274-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 A STREET SW",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "98611",
            "telephone_number": "360-274-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CASTLE ROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "KOREIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "360-274-4413"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "08M01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL OWCP",
            "identifier": "337443500",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0029775",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8905072",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "CA0852",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158293",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9158809",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle Rock Fire & EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Castle Rock Pediatrics and Family Wellness Center
• Castle Rock Pharmacy Inc (Castle Rock Pharmacy)
• Castle Rock School District #401
• Summer Noel Catlin, M.S.CCC-SLP
• Sandra Jo Chavez, RN
• Melinda Conn
• Leah Cooke, LMP
• Jennifer M Cooney, MS, CC, RBT, CBT
• Rachel Cornman, COTA/L
• Cowlitz County Fire District 6

• Land Ambulance in Castle Rock, WA
• Providers in Castle Rock, 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 8, 2010; 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.