City of Cle Elum Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

19M01 Issued in WA

Legal business name

CITY OF CLE ELUM AMBULANCE

Practice address

301 N Pennsylvania Ave
Cle Elum, WA 98922-1159

Phone

(509) 674-2262

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dave Allenbaugh

Title

Chief

Phone

(509) 674-2262

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346331840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 1ST ST",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221105",
            "telephone_number": "509-674-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N PENNSYLVANIA AVE",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221159",
            "telephone_number": "509-674-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CLE ELUM AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLENBAUGH",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "509-674-2262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "19M01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "00053969",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON L&I",
            "identifier": "0171103",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9054479",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deena A Bramme, OTA/L
• David M Bridgeman, DC
• Zoe Elaine Carlson, ARNP
• CD Bender DDS PLLC (Pearl Care Dental)
• Sarah Julianne Chebert, LMP
• Cle Elum Drug
• Cle Elum-Roslyn School District
• Cynthia Lou Cooper, LMP
• Jean Crane, MD
• Celene A Cranston-Gohsman, D.C.

• Land Ambulance in Cle Elum, WA
• Providers in Cle Elum, WA by specialty
• Land Ambulance in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.