Organization Active NPI

Lewis County

  • Land Ambulance
  • Napavine, WA
National Provider Identifier
1396892543
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
21D05 Issued in WA
Legal business name
LEWIS COUNTY
Practice address
129 2ND Ave
Napavine, WA 98565
Phone
(360) 262-3320
Fax
(360) 262-3893
NPI assigned
Jan 3, 2007
Organization subpart
Yes
Parent organization
LEWIS COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Ms. Linda A Wolfe
Title
District Secretary-Billing Agent
Phone
(360) 262-3320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 21D05 WA Primary

Addresses

Primary practice location

129 2ND Ave
Napavine, WA 98565

Mailing address

PO Box 259
Napavine, AL 98565-0259
Phone (360) 262-3320

Other identifiers 3

IdentifierTypeStateIssuer
8928994OtherWAGROUND AMBULANCE SVCS
9039330MedicaidWA
0075934OtherWAGROUND AMBULANCE SVCS

Other names 1

  • Lewis County Fire 5 Doing business as

National Provider Directory

National Provider Directory
Part of
Mossyrock Emergency Ser

Locations

351 NW North St
Chehalis, WA 98532
Phone (360) 740-1223

2126 Jackson Hwy
Chehalis, WA 98532
Phone (360) 748-6019

360 NW North St
Chehalis, WA 98532
Phone (360) 740-1223

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1396892543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 259",
            "city": "NAPAVINE",
            "state": "AL",
            "postal_code": "985650259",
            "telephone_number": "360-262-3320",
            "fax_number": "360-262-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 2ND AVE",
            "city": "NAPAVINE",
            "state": "WA",
            "postal_code": "98565",
            "telephone_number": "360-262-3320",
            "fax_number": "360-262-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEWIS COUNTY",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DISTRICT SECRETARY-BILLING AGENT",
        "authorized_official_telephone_number": "360-262-3320",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "21D05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUND AMBULANCE SVCS",
            "identifier": "8928994",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9039330",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUND AMBULANCE SVCS",
            "identifier": "0075934",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis County Fire 5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Napavine, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.