NPIMap

Organization Active NPI

Bainbridge Advanced Care Ambulance

  • Land Ambulance
  • Bainbridge Island, WA
National Provider Identifier
1205388444
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
18X05 Issued in WA
Legal business name
BAINBRIDGE ADVANCED CARE AMBULANCE
Practice address
600 Ericksen Ave NE
Suite 350
Bainbridge Island, WA 98110-2854
Phone
(206) 842-2676
NPI assigned
Nov 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Larry Whyte
Title
Board President
Phone
(206) 842-2676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 18X05 WA Primary

Addresses

Primary practice location

600 Ericksen Ave NE
Suite 350
Bainbridge Island, WA 98110-2854

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7010

Other names 1

  • Bainbridge Advanced Care Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1205388444",
    "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": "360-394-7010",
            "fax_number": "360-394-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ERICKSEN AVE NE",
            "address_2": "SUITE 350",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102854",
            "telephone_number": "206-842-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAINBRIDGE ADVANCED CARE AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "WHYTE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "206-842-2676"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "18X05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bainbridge Advanced Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.