Bainbridge Island Ambulance Association Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

18X01 Issued in WA

Legal business name

BAINBRIDGE ISLAND AMBULANCE ASSOCIATION INC

Practice address

911 Hildebrand LN NE
Suite 104
Bainbridge Island, WA 98110-2859

Phone

(206) 842-2676

NPI assigned

Feb 6, 2006

Organization subpart

No

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

Authorized official

Name

Rena Beyke

Title

Medical Services Officer

Phone

(206) 842-2676

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1205808953",
    "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": "360-394-7030",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 HILDEBRAND LN NE",
            "address_2": "SUITE 104",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102859",
            "telephone_number": "206-842-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAINBRIDGE ISLAND AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "BEYKE",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "MEDICAL SERVICES OFFICER",
        "authorized_official_telephone_number": "206-842-2676"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "18X01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XMTE06444",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9145400",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "BA1537",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806978000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0089673",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "590161198",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg Awalt
• Linda Anne Ayriss, LMFT
• Melannie Leigh Babboni, LMP
• Bainbridge Advanced Care Ambulance
• Bainbridge Dental Care, PS
• Bainbridge Island Community Pharmacy LLC
• Bainbridge Island Physical Therapy, LLC
• Bainbridge Island School District
• Bainbridge Mental Health, PLLC
• Bainbridge Pediatric Therapy

• Land Ambulance in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.