Organization Active NPI

City of Richland

  • Ambulance
  • Richland, WA
National Provider Identifier
1215901129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
03M04 Issued in WA
Legal business name
CITY OF RICHLAND
Practice address
1000 George Washington Way
Attn Ambulance Billing
Richland, WA 99352
Phone
(509) 942-7560
Fax
(509) 942-7575
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. R Grand Baynes
Title
Director Fire Chief
Phone
(509) 942-7553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 03M04 WA Primary

Addresses

Primary practice location

1000 George Washington Way
Attn Ambulance Billing
Richland, WA 99352

Mailing address

1000 George Washington Way
Attn Ambulance Billing
Richland, WA 99352
Phone (509) 942-7560

Other identifiers 8

IdentifierTypeStateIssuer
00331920MedicaidID
1009350OtherCOMMUITY HEALTH PLAN BHP
228859OtherSTATE OF OR OMAP MEDICAID
26819OtherDEPT OF LABOR & INDUSTRIE
8908412OtherCRIME VICTIMS COMPENSATIO
9133802OtherSTATE OF WA MEDICAID
XMTE06456MedicaidCA
228859OtherCAREOREGON OHP

Other names 1

  • Richland Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100128000445 WA Part B Supplier - Ambulance Service Supplier 3274675293 Practice locations: Richland, WA

National Provider Directory

National Provider Directory

Locations

8656 W Gage Blvd
Ste 302
Kennewick, WA 99336
Phone (509) 737-0911

1000 George Washington Way
Richland, WA 99352
Phone (509) 942-7560

505 Swift Blvd
Richland, WA 99352

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215901129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GEORGE WASHINGTON WAY",
            "address_2": "ATTN AMBULANCE BILLING",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-942-7560",
            "fax_number": "509-942-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GEORGE WASHINGTON WAY",
            "address_2": "ATTN AMBULANCE BILLING",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-942-7560",
            "fax_number": "509-942-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RICHLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAYNES",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "GRAND",
        "authorized_official_title_or_position": "DIRECTOR FIRE CHIEF",
        "authorized_official_telephone_number": "509-942-7553",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WA",
            "license": "03M04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00331920",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUITY HEALTH PLAN BHP",
            "identifier": "1009350",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OR OMAP MEDICAID",
            "identifier": "228859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "26819",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS COMPENSATIO",
            "identifier": "8908412",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WA MEDICAID",
            "identifier": "9133802",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XMTE06456",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREOREGON OHP",
            "identifier": "228859",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richland Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.