City of Longview

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

08M04 Issued in WA

Legal business name

CITY OF LONGVIEW

Practice address

740 Commerece Ave
Longview, WA 98632-2416

Phone

(360) 442-5501

Fax

(360) 442-5961

NPI assigned

Aug 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Daryl W McDaniel

Title

Fire Chief

Phone

(360) 442-5501

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Koreis, MS, EMT-P

  • Paramedic
  • Longview, WA
  • NPI 1477185163
  NPD

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1427305085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 COMMERCE AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322416",
            "telephone_number": "360-442-5501",
            "fax_number": "360-442-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 COMMERECE AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322416",
            "telephone_number": "360-442-5501",
            "fax_number": "360-442-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LONGVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "360-442-5501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "08M04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TSZ-Ming Chow, MD
• Jamie Chrisopulos, RN
• Jennifer Chu-Smith, MD
• Hee J Chun
• Adelaide H Chute, NP
• Brandi Clark
• Candace Clark, RD, CD, CDE
• Jacey Clark, CDPT
• Kim J. Clark, LMP
• Leshay M Clark

• Land Ambulance in Longview, WA
• Providers in Longview, 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 3, 2013; 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.