Active NPI
Ballard Services, Inc.
- Land Ambulance
- Wenatchee, WA
National Provider Identifier
1184784456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 04X01
- Legal business name
- BALLARD SERVICES, INC.
- Practice address
- 1028 N Wenatchee Ave
Wenatchee, WA 98801-1532 - Phone
- (509) 662-5111
- Fax
- (509) 664-7005
- NPI assigned
- Dec 9, 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. Scott Ballard
- Title
- Owner
- Phone
- (509) 662-5111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 04X01 | WA | Primary |
Addresses
Primary practice location
1028 N Wenatchee Ave
Wenatchee, WA 98801-1532
Mailing address
1028 N Wenatchee Ave
Wenatchee, WA 98801-1532
Phone (509) 662-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9127804 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100518000693 | WA | Part B Supplier - Ambulance Service Supplier | 1658400379 | Practice locations: Wenatchee, WA |
National Provider Directory
National Provider DirectoryLocations
1028 N Wenatchee Ave
Wenatchee, WA 98801
Phone (509) 662-5111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190592000000",
"number": "1184784456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 N WENATCHEE AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988011532",
"telephone_number": "509-662-5111",
"fax_number": "509-664-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 N WENATCHEE AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988011532",
"telephone_number": "509-662-5111",
"fax_number": "509-664-7005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALLARD SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-09",
"last_updated": "2007-09-24",
"status": "A",
"authorized_official_last_name": "BALLARD",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-662-5111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WA",
"license": "04X01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9127804",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.