City of Mount Vernon

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

29M07 Issued in WA

Legal business name

CITY OF MOUNT VERNON

Practice address

910 Cleveland Ave
Mount Vernon, WA 98273-4212

Phone

(360) 336-6277

NPI assigned

Feb 17, 2010

Organization subpart

No

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

Authorized official

Name

Christine Elizabeth Love-Johnson

Title

Administrator

Phone

(360) 420-7090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mount Vernon Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Tax ID family

City of Mount Vernon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City of Mount Vernon Fire Department

  • Ambulance
  • Mount Vernon, WA
  • NPI 1285897504
  NPD tax ID

Locations

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1215259239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N LAVENTURE RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735804",
            "telephone_number": "360-336-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 CLEVELAND AVE",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734212",
            "telephone_number": "360-336-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MOUNT VERNON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "LOVE-JOHNSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-420-7090"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "29M07",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0261141",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Vernon Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Vernon Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Keith Choffel, RPA
• Jean R Christensen, LMP
• Janet K Christiansen, M.D.
• Ruthie May Uy Chua, M.D.
• Aileen Grace Cielo, M.D.
• City of Mount Vernon Fire Department
• City of Mount Vernon School Dist 320
• Gary James Clancey, MD
• Alan W Clark, PA-C
• Cassandra Clark

• All providers in Mount Vernon, WA
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.