City of Raymond

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

25M03 Issued in WA

Legal business name

CITY OF RAYMOND

Practice address

212 Commercial St
Raymond, WA 98577-2415

Phone

(360) 942-4144

Fax

(360) 942-4139

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Sheila M McGough

Title

Billing Clerk

Phone

(360) 942-4144

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1306992045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 COMMERCIAL ST",
            "city": "RAYMOND",
            "state": "WA",
            "postal_code": "985772415",
            "telephone_number": "360-942-4144",
            "fax_number": "360-942-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 COMMERCIAL ST",
            "city": "RAYMOND",
            "state": "WA",
            "postal_code": "985772415",
            "telephone_number": "360-942-4144",
            "fax_number": "360-942-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RAYMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "MCGOUGH",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "360-942-4144"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "25M03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9149303",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennia Giovanni Bussell
• Isabella Carlson
• Kristi Carman, MA
• David Lee Caulfield
• Kelly M Chapelle, LMP
• Taylor Lynn Clodfelder, CBT
• Colby Cordray
• Isabella L Coscia
• Rebekah Dawn Cowell, LMP
• Jessica Katelyn Leon Curry

• Land Ambulance in Raymond, WA
• Providers in Raymond, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.