City of College Place

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

AIDV.ES.00000776 Issued in WA

Legal business name

CITY OF COLLEGE PLACE

Practice address

629 S College Ave
College Place, WA 99324-1516

Phone

(509) 529-6506

Fax

(509) 529-0184

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Brian Carleton

Title

Finance Director

Phone

(509) 394-8507

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Winter

  • Basic Emergency Medical Technician
  • College Place, WA
  • NPI 1720446800
  NPD (past)

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1194183178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7020",
            "fax_number": "360-394-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S COLLEGE AVE",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241516",
            "telephone_number": "509-529-6506",
            "fax_number": "509-529-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF COLLEGE PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "CARLETON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "509-394-8507"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "AIDV.ES.00000776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briton House Incorporated
• Tyrone Bryan
• Brittney Virginia Buissink, PHARMD
• Daniel Campos
• Randy D Castleman, PT
• Richard Clodius
• Philip Coffeen
• Kimberly Ann Cole, MSPT
• College Place Chiropractic
• College Place School District

• All providers in College Place, WA
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.