NPIMap

Organization Active NPI

Makah Tribal Council

  • Land Ambulance
  • Neah Bay, WA
National Provider Identifier
1306037767
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05X04 Issued in WA
Legal business name
MAKAH TRIBAL COUNCIL
Doing business as
Neah Bay Ambulance
Practice address
141 2ND Ave
Neah Bay, WA 98357
Phone
(360) 645-2481
Fax
(360) 645-2690
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Lois Peterson
Title
Administrative Services Manager
Phone
(360) 645-3210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 05X04 WA Primary

Addresses

Primary practice location

141 2ND Ave
Neah Bay, WA 98357

Mailing address

181 Resort Drive
Neah Bay, WA 98357
Phone (360) 645-3210

Other identifiers 1

IdentifierTypeStateIssuer
9018540MedicaidWA

Other names 1

  • Neah Bay Ambulance Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1306037767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 RESORT DRIVE",
            "city": "NEAH BAY",
            "state": "WA",
            "postal_code": "98357",
            "telephone_number": "360-645-3210",
            "fax_number": "360-645-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 2ND AVE",
            "city": "NEAH BAY",
            "state": "WA",
            "postal_code": "98357",
            "telephone_number": "360-645-2481",
            "fax_number": "360-645-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKAH TRIBAL COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICES MANAGER",
        "authorized_official_telephone_number": "360-645-3210"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "05X04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9018540",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neah Bay Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neah Bay, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.