Organization Active NPI

Ballard Services, Inc.

  • Land Ambulance
  • Wenatchee, WA
National Provider Identifier
1184784456
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04X01 Issued in WA
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

Updated by the provider on Sep 24, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9127804MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100518000693 WA Part B Supplier - Ambulance Service Supplier 1658400379 Practice locations: Wenatchee, WA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.